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HomeMy WebLinkAbout0132471-Plumbing (laundry sink)OSHKOSH ON THE WATER Job Address 2050 MENOMINEE DR Contractor M P KELLY CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Owner JASON J/SUSAN E HIRSCHBERG Category 410 -Residential-Interior Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures UselNature of Work Shower Water Softner Wait. St. Shamp Sink Floor Drain Local Waste Ice Chest ----- FIrIWst Sink - - LndryTray 1 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 EjectorlGrind Drink Ftn Serv Sink Soda Disp Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service No 132471 Create Date 08/25/2008 Plan Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Parcel Id # 1512040000 Valuation $1,020.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided Issued By Date 08/26/2008 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 AgenUOwner Address 665 N MAIN ST 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 Inspection Services Division P O Box 1130- ~ , Oshkosh, WI 54903-1130 , Phone: (920) 236-5050 Fax: (920) 236-5084 1 IK~ ON THE W,~TER Plumbing Perrn~t Applic~tian I hereby apply for ti permit to do :and' install the following piutnbing on he .premises hereinafter described, he work to conform to the Wisconsin:State Plumbing Code, in the performance of which al} parkies hereto agree to and are:bound by said statutes. • Application(s) and fee(s) can be brought.to City Ha11, Room 205 or mailed to-Inspection Services, PO Box 1128, Oshkosh WI 54903-1128.. Commencing. work without-permit(s) will result irs fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR If you are a contractor narticinatin Q in the Permit Fee Account System and have adeq uate fund ~ ,.eti<rec~c'here arf you want this processed through y our account' ~ r ~. +, ~A Job Address ~o ~d l ~ L ~.1~ by1,l.. ' :a .l N ~ ~~alue Inctua~n tabor and riat •als cn ) ( s I ~ O •Q(1 V ate Ow r _~~~~ I~ ~~ ~~-~~-Contractor ., . Single:Family [JDup ex ~Multi=Fa>Ittily []Rental` QCo ercal , []Indust '~' Number of Fixtures: Bathtub Disposal Drink Ftn Catch Basin Whirlpool Dishwasher Wait. St. Wash ~Ftm Lavatory Sump Pump >Ice:Chest Urinal Toilet Ejector/Grind ,Exam Sink Gar Drain Res. Sink Water Sooner Sculry'Sink Soda D.isp Bar Sink Local Waste klandSink - CoffecMaker Water Heater Clothes Wshr ^ Gas ^ Elect l7 PwrVnt F Prtp Stnk Ice Maker `` 13idet Serv Sink Site Drain Shower -Beer Tap Floor Drain ~ L d Classtrn Sink n ry Tray... $ucgeons,Sink Lab Sink gr~)~-'Sink Plaster Sink ~- Dip Well Stenhzer Misc. Fixtures Electric Contractor i In:tGrease-Trap Roof Drain 1;9tt'Grease Trap Standp Rec R.P:Z.-Valve Eyt Wash Stn $hampSirik Wtr Sewer Mtrs • )c r/Wsf.Sink D:~duct Metiers Wtr U M Use /Nature of Work Size Material: Sanitary Sewer ~+. VVater-Service , -.sage trs OR: ^Electr~c;installa~tion Yet-i~cataw ..form attached (If7t~gtacemen{) , n~ .~ ,. T3'Pe U ~ Conn. 4/05 ~