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Home My WebLink About2008-PlumbingOSHKOSH ON THE WATER Job Address 829 N WASHBURN ST CITY OF OSHKOSH No 131610 PLUMBING PERMIT -APPLICATION AND RECORD Contractor M P KELLY Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Valuation Issued By Owner WISCONSIN DEPT OF TRANSPORTATION Create Date 07/15/2008 Category 401 - Residential-Exterior (laterals) Plan Shower Water Softner Wait. St. Shamp Sink Coffee Maker Floor Drain Local Waste Ice Chest FIrlVllst Sink Int Grease Trap Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap Disposal Bidet Sculry Sink Wash Ftn RPZ Valve Dishwasher Beer Tap Hand Sink Urinal __ Eye Wash Statn Sump Pump Lab Sink Plaster Sink _ Standp Rec ___ _ Wtr Sewer Mtrs _ _ Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters Breakrm Sink Dip Well F Prep Sink Gar Drain - Wtr Usage Mtrs -- Ejector/Grind Drink Ftn Serv Sink Soda Disp __ Date 07/17/2008 In the pertormance 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 pertormed within two business days from the time the project is ready. ~$1,~2~.00 Plan Approval $0.00 Pennit Fees $25.00 ^ Permit Voided City of Oshkosh Inspection Services Division P O Box 1130 •~ Oshkosh, WI 54903-1130 ,fU~ 1 7 2~~$ Phone: (920) 236-5050 Fax: (920) 236-5084 DEPAR7~ENT OF _~_~ CON1MtJfJITY DEVE~..Or'i'IEN~T' OHK ATER ~ i INSPECTIOfV SERVICE C)?:~~/iSIO(~' Plumbing. Permit App#ication I hereb a 1 fora ernut to do and install the followin ltunbin on the remises hereinafter descri y pp y p g p g p bed, the work to conform to the Wisconsin State Plumbing Code, in the performance of which all 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 54903-1 T28. Commencing work without permit(s) will result in fees being doubled. or $100.00 plus the normal permit-fee, which ever is greater. OR f- SS ~~~~ ~ ~~ ~ Job Address ~~ G~CS~~Z~~~V~IIIe (Includinglaborandmaterials) ~/ _ Date fS ~~ Owner ~ Contractor OSingle Family ^Duplex Multi-Family ^RentaI []Co ercal ~Indus>xrial _ ` _. Number of Fixtures: Bathtub Disposal Drink Ftn Catch Basin Whirlpool Dishwasher Wait. St. Wash Ftn lavatory Sump Pump Ice Chest ~ Urinal Toilet Ejector/Grind Exam Sink Gar Drain Res. Sink Water Softner Seulry Sink Soda Disp Bar Sink Local Waste Hand. Sink Coffee Maker Water Heater Clothes Wshr F Prep Stnk Ice Maker `? O Gas 0 ElectO PwrVnt Bidet Serv Sink Site Drain Shower Beer Tap IntGrease Trap Roof Drain .I Floor Drain Classrm Sink Ext Grease Trap Standp Rec Lndry Tray Surgeons Sink R.P:Z. Valve Eye Wash Stn Lab Sink g~k~ Sink Shame Sink Wtr Sewer Mtrs I, Plaster Sink Dip Well F)r/WstSink Steriliztr Deduct Meters Misc. Wtr Usage Mtrs I Fixtures Electric Contractor OR []Electric Installation Verification form attached (IfReplacement} Use /Nature of Work ~ ~.~~~c,4 ~~- Size Material Type # Conn. Type Sanitary Sewer .Storm Sewer , Water:-Service ru~ 4/05