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.
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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~