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Home My WebLink About2008-Plumbing (toilet & lndry tub)OSHKOSH ON THE WATER Job Address 1234 WASHINGTON AVE Contractor M P KELLY CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work _ Shower _ Floor Drain Lndry Tray 1 Disposal Dishwasher _ Sump Pump 0 Classrm Sink _ Breakrm Sink Ejector/Grind Water Softner Local Waste 1 Clothes Wshr _ Bidet _ Beer Tap _ Lab Sink _ Sterilizer _ Dip Well Drink Ftn Valuation Issued By Owner CHARLES F/JOYCE HYDE Category 410 -Residential-Interior Wait. St. Ice Chest Exam Sink Sculry Sink Hand Sink Plaster Sink Surgeons Sink F Prep Sink Serv Sink Shamp Sink FINVNst Sink __ __ Catch Basin Wash Ftn __ Urinal Standp Rec Ice Maker Gar Drain Soda Disp No 132460 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 pertormance 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 ro scneclule 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~ AO ~1 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~~--~ ON THE WATER Plumbing Perrr~~t App#ic~tian I hereby apply for t~ permit to do .tu1d' install the following pitunbing 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 .botmd by said statutes. • Application(s) and fee(s) can be brought to City Hall, Rooln 205 or mailed to Inspection Services, FO Box 1128, Oshkosh WI 54903-1.1.28.. Comtilenci~g.;°work without perlrut(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR Job Address ~ / t' )`/y~ "` ~ ~ ` Value (Ir<gluaingtavorend rttaterials) ~~ ~ O~ Date O Owner T :Contractor tngie::Family [Duplex ^Multi-Fa;t~l%ly ^Rental' ^Co ercai ; ^Indust~rial --- ._~ Number of :Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater 0 Gas O Elect^ PwrVnt Shower Floor Drain Lndry Tray, ___~___ Lab Sink Plaster Sink Sterilizer Misc. Fixtures Electric Contractor Use /"Nature of ;Disposal Drink Ftn Dishwasher Wait. St. Sump Pump Ice Chest ' Ejector/Grind ;Exam Sink Water Softner S,eutry'$ink .Local Waste Hand"Sink ~ _ Clothes Wshr FPrep Sink Bidet Serv Sink Seer Tap Int%Grease Trap Classnm Sink Exf Grease 'T'rap Surgeons Sink R.P.Z.-Valve Breakrm Sink ~hampSink Dip Welf :Flr/Wst.Sink Catch Basin Wash'Ftm Urinal Gar Drain Soda I3.sp Coffer:;Maker Ice Maker Site Drain Roof Drain Standp Rec Eyi: Wash Stn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs OR: [}Electric instailatxon Verification f+~rm attached 4/05