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Home My WebLink About0132470-Plumbing (water heater)OSHKOSH ON THE WATER Job Address 1026 OAK ST CITY OF OSHKOSH 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 RICHARD G MAKI/LORI M PIEROUET Category 411 -Residential-Water Heaters Shower Water Softner Wait. St. Shamp Sink Floor Drain Local Waste Ice Chest FIr/Wst 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 1 No 132470 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 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 Address 665 N MAIN ST Agent/Owner 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. $1,001.19 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided) City of Oshkosh Inspection Services Division P O Box 1130 ,~ Oshkosh, WI 54903-1130 Phone: (920)236-5050 Fax: (920) 236-5084 I 110 I~l ON THE WATER Plumbing Permit App#ication I hereby apply for a permit to do and install the following phunbing 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 withoutpermit(s) will result fn fees being doubled. or $100.00 plus the normal permit fee, which ever is greater. OR /~ it vvu ure a cvrsirucwr,Nuriacipu~inY. en ine rermu a-ee rtcevunr ~yscem ana nave aaequar~una~_..enzrcK nere if you want this processed through vour account n `~ Job Addre ~ ~ ~ Value (Includinglaborand materials) ~ ' ` Date ~l~/ Ovine ~ Contractor ngle Family ^D lex OMulti-Family ~RentaI [^Co ercial ~Industlrfial _ Number of Fixtures: Bathtub Disposal Drink Ftn Catch Basin Whirlpool Dishwasher Wait. St. Wash`Ftn Lavatory Sump Pump Ice Chest Urinal Toilet Ejector/Grind Exam Sink Gar Drain Res. Sink Water Softner Sculry Sink Soda Disp Bar Sink ~ Local Waste Hand: Sink Coffee Maker Water eater Clothes Wshr F Prep Sink Ice Maker ^ Elxt D PwrVnt Bidet Serv Sink Site Drain Shower Beer Tap InC Grease Trap Roof Drain Floor Drain Classtm Sink Ext Grease Trap Standp Rec Lndty Tray Surgeons Sink R.P.Z. Valve Eye Wash Stn Lab Sink greakrrn Sink .Shame Sink Wtr Sewer Mtrs Plaster Sink Dip Well Flr/WstSink Sterilizer Deduct Meters Misc. W!r Usage Mtrs Fixtures Electric Contractor - OR QElectrc Installation Verification form attached ~` ~ (If eplacement) ~~ ~~ Use /Nature of Wor G - ize Material Type # Conn. Type .Sanitary Sewer >1Storm Sealer ~. ~~`~ ~ Water Service 4/05