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HomeMy WebLinkAbout0131614-PlumbingOSHKOSH ON THE WATER Job Address 1849 OMRO RD CITY OF OSHKOSH No 131614 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 DEPARTMENT OF TRANSPORTA' Create Date 07/15/2008 Category 430 -Industrial-Exterior (laterals) Plan Shower Water Softner Wait. St. Shamp Sink Floor Drain Local Waste Ice Chest FIrIVVst 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 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 Address 665 N MAIN ST Agent/Owner OSHKOSH Date WI 54901 -4431 Telephone Number 231-1750 ~~ J~~~~••w~~ u~apc~~w~~s pease cau ine mspeciion Kequest nne at z36-5128 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. Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs _ Deduct Meters Wtr Usage Mtrs r. $125.0 Plan Approval $0.00 Pennit Fees $25.00 ^ Permit Voided City of Oshkosh Inspection Services Division ~:,,~ P O Box 1130 ~'~*-~ ~ .~ Oshkosh, WI 54903-1130 "`' Phone: X920) 236-solo JUL 17 2008 ~/ Fax: (920) 236-5084 HK H DE{7~FC{~IviEPd~I CJF ~ ON THE WATER COMMUNITY DE4'ELt~Pf~1ENT Plumbing i'' ~~~jcD~ibn I hereby apply for a permit to do and install the following plutnbing on the premises hereinafter described, 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 54903-1128. 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 narticinatinQ in the Permit Fee Account System and have adequate und~,.,~-trP'clc~'here ~{ i ou want this rocessed throw h our unt 1' Job Address ' ~j ~ x. Value (including labor and materials) v r~~ Date ~5 Owner ,~ n / Contractor ` ^Single Family ^Duplex ^Multi-Fa>Etitly ^Rentaf ^Co ercial ^Industrial ~ Number of Fixtures: a Bathtub Disposal Drink Ftn Catch Basin Whirlpool Dishwasher Wait. St. Wash'Fm lavatory Sump Pump Ice Chest Urinal Toilet Ejector/Grind Exam Sink Gar Drain Res. Sink Water Sofiner SeWrySink Soda Disp Bar Sink Local Waste Hand'Sinle Coffee Maker ++~ Water Heater Clothes Wshr F Prep Sink Ice Maker O Gas O Elect O PwrVnt Bidet Serv Sink Site Drain Shower Beer Ta P Int Grease Trap Roof Drain Floor Drain Classtm Sink Ext Grease Trap Standp Rec Lndry Tray Sur eons Sink B R.P.Z. Valve Eye Wash Stn Lab Sink Breakrm Sink i Shame Sink Wtr Sewer Mtrs Plaster Sink Di Well P Elr/WstSink Sterilizer DEduct Meters i Misc. Wtr Usage Mtrs ~ Fixtures Electric Contractor OR ~ ^Electric Installation Verification :form attached (If Replacement) Use /Nature of Work ~~ Size Material. Type # Cotm. Type Sanitary Sewer :Storm:Sewer Water Service ~~/ 4/OS