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