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HomeMy WebLinkAbout2008-Plumbing (misc. fixtures) ~ CITY OF OSHKOSH No 131490 OSHKOSH PLUMBING'PE RMIT -APPLICATION AND RECORD ON THE WATER Job Address 1303 WASHINGTON AVE ' Owner MARK O/JILL C NELSON Create Date 07/14/2008 Contractor O'NEILL ENTERPRISES INC Category 410 -Residential-Interior Plan Bathtub 1 Shower Water Softner Wait. St. Shamp Sink Coffee Maker Whirlpool Floor Drain Local Waste Ice Chest Flr/Wst Sink Int Grease Trap Lavatory 1 Lndry Tray Clothes Wshr i Exam Sink Catch Basin Ext Grease Trap Toilet Disposal 1 Bidet ~~~ Sculry Sink Wash Ftn RPZ Valve Res. Sink 1 Dishwasher Beer Tap ~ Hand Sink Urinal Eye Wash Statn Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs _ Water Heater Classrm Sink Sterilizer~I Surgeons Sink Ice Maker _ Deduct Meters Site Drain Breakrm Sink Dip Well ~I~ F Prep Sink Gar Drain Wtr Usage Mtrs Roof Drain M. Ejector/Grind Drink Ftn~l ~ Serv Sink -- Soda Disp -- isc. Fixtures Use/Nature of Work Valuation $1,400.00 Plan Approval II $0.00 Permit Fees $28.00 ^ Permit Voided Issued By II Date 07/14/2008 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to secure any necessary approvals before starting such activity. Signature ~~I Date Address 522 W 6TH AVE Agent/Owner OSHKOSH WI 54902 - 5916 Telephone Number 920-230-2007 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may continue if the inspection is not pertormed within two business days from the time the project is ready. ~I i 07/11/2008 16:39 FAg 19202302008 ', ONEILL ENTERPRISES C~j001/001 gill City of Oshkosh Inspection Services Division P O Box 1 ] 30 Oshkosh, WI 54903-1130 Phone:(920)236-5050 Fax:(920)236-5084 Plumbing Permit Application I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the Wisconsin State Plumbing Code, in the performance of which al! parties hereto agree to and are bound by said statutes. • Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. '! OR ~ j ** Advisory -For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted with the permit application, Applications submitted without an EIV when such is regniired, wi11 not be processed for Permit Issuance and wr71 be returned for completion. Job Address • Valile (Including labor and materials) D . ~ Date Owner Contractor r ]Single Family ^Dupleg ^Multi-Family ^Rental ^Commercutl ^ ndustrial y Number of Fixtures: Bathtub ~ Disposal ~ Drink Ftn Catch Basin Whirlpool Dishwasher ~ Wait. St Wash Ftn Lavatory _~ Sump Pump Ice Chest Urinal Toilet Ejector/Grind I Exam Sink Gat Drain Res. Sink . ~ Water Softer !I~ Sculry Sink Soda Disp Bar Sink Local Waste ~ Hand Sink Coffee Maker Water Heater Clothes Wshr F Prep Sink Comm. Ice Maker ^ Gas ^ Elect ^ PwrVnt 'Bidet ! Serv Smk Site Drain Shower Beer Tap Int Grease Trap Roof Drain Floor Drain Classrm Sink Ext Grease Trap 5tandp Rec Lndry Tray 5~~~ Sink I RPZ. Valve Eye Wash Stn Lab Sink Breaktm Sink Shamp Sink Wtr Sewer Mfrs Plaster Sink Dip Well ! Flr/Wst Sink Deduct Meters Sterilizer Hose Bibs Wtr Usage Mfrs Misc Fixtures Electric Contractor (for prLojec~tsn not requiring~apn EIV Form) Use /Nature of Work ~ 1 \IL~~L~[! ~(` Q , 1 IL1lY 11 uY~~1f 1111 1. ~.l ~l t ft ®/1 Size Sanitary Sewer Storm Sewer Water Service Type Conn. Type 07~0~