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HomeMy WebLinkAbout0131615-PlumbingOSHKOSH ON THE WATER Job Address 1919 OMRO RD CITY OF OSHKOSH No 131615 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 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 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 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 scneauie 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 performed within two business days from the time the project is ready. $12~ Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided City of Oshkosh Inspection Services Division ~ b, P O Box 1130 Oshkosh, WI 54903-1130 ~U~ 1 ~ 2~~$ Phone: (920) 236-5050 ~( Fax: (920)236-5084 DER~aRTMEN ~" OF I\ ; COMMUNITY DEVE~Oi'MENT ON THE WATER ; INSPECTION SERVICES UI'JISION a, Plumbing Perrnat Application I hereby apply for a permit to do and'install the following pitunbing on the premises liereinafter deserit>cd he 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) can be brought to City Ha11, Room 205 or mailed tti Irspection Services, PO Box 1128, Oshkosh WI 54903-1128. Cornmencing`work without-permit(s) Will t~esult in 'fees bein8 doubled or $100.00 plus the normal permit fee, which ever i greater. ,.; ;'~ OR If you are a contractor barticipating in the Perm;tti,Fee Account System and-have adequate-funds._,~h~ ere ~; i ou want this rocessed throw N o r a unt ~k Job Address ~ ~ __ Value (T eluding tabor andmaterials)< ~~©~ Date~~s ~~n % Contractor _ Owner ; ^Single Family [Duplex ^Multi=Fa~tily ,[~RentaT ~ []Co>i~inercial Dlndustrai _ °< ,,: ____ Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater 0 Gas ~ Eloct O PwrVnt Shower Floor Drain Lndry Tray. Lab Sink Plaster Sink Sterilizer ~_,, Misc. Fixtures _ _ Electric Contractor Use /Nature of ::Disposal Drink Ftn Catch Basin Dishwasher Wait. St. Wash'Ftn Sump Pump >Ice Chest ~ Urinal Ejector/Grind ;Exam Sink Gar Drain Water Softner ,S~ulry$ink Soda Dip Local Waste ElandSink ~ Coffee.Maker Clothes Wshr F Prep Sink Ice Maker Bidet ServSink Site Drain Beer Tap InCGrease Trap Roof Drain Classtrn Sink Ez@.Crtease'['rap Standp Rec Surgeons.Sink RP:Z. Valve ~ Eye Wash Stn Breakrm Sink -ShampSink Wt[ Sewer Mtrs -Dip WeIT =Flr/WsE Sirik Deduct Meters Wtr Usage Mtrs OR. t []Electric intstallaon ~e~i~ucatian .frtrm attached (I#;:Rcpfiacerrteat) Size Material. Type Sanitary Sewer ~~ # Conn.. Type ~ S.<ei 4 f 05