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
~.
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Job Address ~o ~d l ~ L ~.1~ by1,l.. ' :a
.l N ~ ~~alue Inctua~n tabor and riat •als
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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 ~