HomeMy WebLinkAbout0131613-PlumbingOSHKOSH
ON THE WATER
Job Address 1847 OMRO RD
CITY OF OSHKOSH
No 131613
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
UselNature
of Work
Owner City of Oshkosh Create Date 07/15/2008
Category 430 -Industrial-Exterior (laterals) Plan
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest FIrIWst 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
EjectoNGrind 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
Valuation $125.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
Issued By 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
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.
City of Oshkosh
r~ ~, {
Inspection Services Division i,
P O Box 11.30 F ~' ~` ~,
Oshkosh, WI 5491)3-1130.
Phone: (920)236-solo JUL 17 2008
Fax: (920)236-5084 DEPr~iZTl~a' i~"i .CAF
CCMMUNI~i Y DEVE?v!`~I'~1~NT ~ ON THE WATER 1
INSPECTION SERVICES DI'~iSiON
Plumbing Perr>7~t App#ica ion
I hereby apply for a pernut to do :and install the following pitunbing on he premises hereinafter deseri}~ed,-the work to conform to the
Wisconsin State Pltunbing Code, in the performance of which all parties Hereto agree to and are bound by said statutes.
• Application(s) and fee(s) cats be broughti to City Ha11, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Conunencirlg work withoutpermit(s) will result in fees being doubled.or $100.00 plus the
normal permit fee, which ever is greater.
OR ,N
If you are a contractor participating. in the Permit:~'ee Account.:System and:have adequate-fund.t._.~irec"k'here
you want this processed through. your account ~
/ Q~' ~ ~~' QV ~ {
Job Address / 1rJ`~ ~ value (Incluaingl~horand.rriaterials>. ~~ .Date ~~
Owner ~~ n / Contractor
^Sngie Family. []Dap ex ~Mu~lti-Fa~fily [])Mental' [~Co ercal QIndustirirxl _
Number of I~xtures:
Bathtub Disposal
Whirlpool Dishwasher
Lavatory Sump Pump
Toilet Ejector/Grind
Res. Sink Water Softncr
Bar Sink Local Wastes
Water Heater Clothes Wshr
0 Gas C EIecC O PwrVnt $idet
Shower Beer Tap
Floor Drain Classrm Sink
Lndry Tray Surgeons-.Sink
Lab Sink Breakrm Sink
Plaster Sink 'Dip Well
Sterilizer
Misc.
Fixtures
Electric Contractor
Use. /Nature of
Drink Ftn
Wait. St.
Ice:Chest
;Exani Sink
~~u1ry Sink
Ijar~d:Sinlr '
F Prep Sink
Serv-Sink
Int=Grease Trap
~E~t~.~cease Trap
RP:Z. Valve
Shamp'Sink
Flr/Wsf Sink
Catcfi Basin
Wash Ftn
Urinal
Gar Drain
Soda I3isp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Rec
-Eye Wash Stn
Wtr Sewer Mtrs
D:~duct Meters
Wtr Usage Mtrs
OR: t []Electric Ipistaliatlon Veri~llcatictsn form attached
(If RepleGe~tt) .
Size >Material. , - Type # Cotm. Type
Sanitary Sewer
StorIIl:Sevuer
Water Service
~as.~
405