HomeMy WebLinkAbout0131609-PlumbingOSHKOSH
ON THE WATER
Job Address 579 EVANS ST
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner ADAM GARDNER
Contractor M P KELLY
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
UselNature
of Work
Valuation
Issued By
No 131609
Create Date 06/25/2008
Category 401 -Residential-Exterior (laterals) Plan
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest FIr/Vllst Sink
Lndry Tray Clothes Wshr Exam Sink Catch Basin
Disposal Bidet _ Sculry Sink Wash Ftn
Dishwasher Beer Tap Hand Sink Urinal
Sump Pump Lab Sink Plaster Sink Standp Rec
Classrm Sink Sterilizer Surgeons Sink Ice Maker
Breaknn Sink Dip Well F Prep Sink Gar Drain
Ejector/Grind Drink Ftn Serv Sink Soda Disp
Coffee Maker
int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Date 07/17/2008
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 Date
Address 665 N MAIN ST
AgenUOwner
OSHKOSH
WI 54901 - 4431 Telephone Number 231-1750
~ o scneauie 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 performed within two business days from the time the project is ready.
_~__ $125.00, Plan Approval $0.00 Permit Fees $0.00 ^ Permit Voided
City of Oshkosh i
Inspection Services Divlsion
P O Box 1130 JUL 17 2008 ~~ '
Oshkosh, WI 54903-1130 ;
Phone: (920) 236-5050
Fax: (920) 236-5084 DEPi~F~~fME(VT OF
COMMiJ~`;ITY DEVELdPMENT HKO H
INSf~E('"i'itJi~! SERV1Ct5 (')IOli~ION ON THE WATER
Plumbing Permit Application
I hereby apply for a permit to do and install the following pitunbing on the premises hereinafter described, the work to conform to the
Wisconsin State Phtmbing Code, in the perfotmance of which all parties hereto agree to and are bound by said statutes.
• Application(s) and fee(s) can be broughf 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 .-
If you are a contractor narticinatin~ in the Permit-Fee-Account Sv""stem and have adequat~und~ ,~f/e'ck"~iere ~;
if you want this processed through vour account ~ s
/ ~ ')
Job Address `~7 9 I~fI nrS' Value (Including tabor and materials) ~./ f w Date ~ ~~'
Owner (..~/ ontractor
Single Family Duplex ^Multi-Family []Rental ^Co ercial ^Industrial
Number of Fixtures:
Bathtub Disposal
Whirlpool Dishwasher
Lavatory Sump Pump
Toilet Ejector/Grind
Res. Sink Water Softner
Bar Sink Local Waste
Water Heater Clothes Wshr
0 Gas O Elect O PwrVnt Bidet
Shower Beer Tap
Floor Drain Classrm Sink
Lndry Tray Surgeons Sink
Lab Sink Breakrm Sink
Plaster Sink Dip Well
Sterilizer
Misc.
Fixtures
1
Drink Ftn
Wait. S[.
Ice Chest
:Exam Sink
Sculry Sink
HandSink
F Prep Sink
Serv Sink
Int Grease Trap
E~tt Grease Trap
R.P.Z. Valve
Shamp Sink
Flr/WstSink
Catch Basin
Wash fto
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Rec
Eye; Wash Stn
Wtr Sewer Mtrs
Deduct Meters
Wt< Usage Mtrs
Electric Contractor OR []Electric Installation Verifuation form attached
(If Replacement) .
i
Use /Nature of Work ~~-~
~.
std ~/
4/05