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