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Home My WebLink About0132467-Plumbing (sump pump)OSHKOSH ON THE WATER Job Address 904 BALDWIN AVE 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 Owner CAROL E YOUNG Category 410 -Residential-Interior 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 1 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 No 132467 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 Valuation $490.00_ 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 Plumbing Permit Application '' C~-HKO H ON THE WATER I hereby apply for a pemrit to do and install the following plumbing on thepremises 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 r',.,v ••~M•• G~`//~l~ /04(1VVV N/IL uv~acln ulou ![(L YG uucyuur.e ~unu~,.~necK Here if you want this Drocessed through your account Job Address / ~ / ~ Value (Including labor and materials) Qr Ov Date ~ /~ a Ow Contractor - Single Family QD plex Multi-Fancily Rental (^Co ercal ^Industrial _ _ 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 Sooner Scu1ry Sink Soda Disp Bar Sink Local Waste Hand. Sink Coffee Maker '~ Water Heater Clothes Wshr F Prep Sink Ice Maker ^ Gas ^ Elect ^ 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 Surgeons Sink R.P.Z. Valve Eyc Wash Stn Lab Sink Breakrm Sink Shame Sink WtC Sewei Mfrs Plaster Sink Di Well P Elr/WstSink Sterilizer Deduct Meters Misc. Wtr Usage Mtrs Fixtures Electric Contractor OR []Electric Installation Verification form attached (If Replacement) Use /Nature of Work Size Material Type # Conn. Type Sanitary Sewer Storm.Sewer ~. ' Water-Service ~° a ~, C _-~ ~.,., J 4/05