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HomeMy WebLinkAbout0131612-PlumbingOSHKOSH ON THE WATER Job Address 2061 OMRO RD CITY OF OSHKOSH No 131612 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 STATE OF WISCONSIN DEPT OF TRANSPORT Create Date 07/15/2008 Category 430 -Industrial-Exterior (laterals) Plan Shower Water Softner Wait. St. Shamp Sink Floor Drain Local Waste Ice Chest FIrlVllst 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 Breakrm 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 Agent/Owner OSHKOSH WI 54901 - 4431 Telephone Number 231-1750 I o scneaule 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 pertonned within two business days from the time the project is ready. $125{00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 RE,~~/ JUL 17 2008 DEP~1i<?? i~~iEiVl` Oi= COMMUiVITY DEt;E±..Ci~~P•1ENT . INSPECTION SERVI(;t_ r r~IVTSION Plumbing Permit App~ic~tion 1 r i a I hereby apply for a pernut to do :aid' install'the following pitunbing on tlie. premises hereinafter deseriY~ed, :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-#o City Ha11, Room 205 or mailed to-Inspection-Services, PO Box 1128, Oshkosh WI 54903-1.1.28. Commencing work withoutpermit(s) will resu}tin fees being doubled. or $100.00 plus the normal permit fee, which ever is greater. ,.,~ OR /'' I ou are a con ractor artici at'in `n a Per it•:.ee ~Iccou:nt:S stem and have ad uate; un e'c7E"~iere i ou want this rocessed throw h o ac u 1 Job Address Value (Including t8bor and materials}: late S. -.--= . Owner ~~n / :Contractor .. .. - r OSngle Family []Dup ex OMua~-Fatirli~%l~ (]Mental ~ []Cotercial ~Indust~i Number of Futures: Bathtub Disposal Whirlpool 'Dishwasher Lavatory Sump Pump Toilet Ejector/Grind Res. Sink Water Softner Bar Sink Local Waste Water Heater Clothes Wshr 0 Gas D Elect D PwrVnt $idet Shower Beer Tap Floor Drain Classrm Sink Lndry Tray. Surgeons-.Sink Lab Sink Breakrm Sink Plaster Sink _,~ Dip Well Sterilizer _,~,, Mise. Drink Ftn Catch Basin Wait St. Wasfi°Ftn ace Chest Urinal Ezam Sink Gar Drain s~ulry Sink Soda Disp Eland~Sinlc ~ CoffetMaker F Prep Sink° Ice Maker Serv Sink Site Drain Int?Grease Trap Roof Drain ~Btct<G'ease'I'rap Standp Rec It:P.Z. Vatve >yt Wash Stn ShampSink Wtr Sewer Ivlhs Elr/Wst.Sink Deduct Meters Wtr Usage Mtrs Fixtures Electric Contractor OR t []Electr><c Iaistallaton verx~xcation farm attached (Ii;:Replacemegt) Use /Nature of Work ~~~~~~-~`~4~ ~-~~ • ` Size Material.. - Type # Cotm. Type Sanitary Sewer ~Storm;SeWer , Water~Servce ~~s ~ 9/05