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Home My WebLink About0132465-Plumbing (sump pump)OSHKOSH ON THE WATER Job Address 3475 N MAIN 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 CROWN CORK & SEAL CO USA INC Category 440 -Industrial-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 132465 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 i o scneauie 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. ~ $~ 0 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 Plumbing Permit Application HK H ON THE WATER I hereby apply for a permit to do and install the following plumbing 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 Ha11, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI 54903-1128. Conunencing work without permit(s) will result in fees being doubled-or $100.00 plus the normal permit fee, which ever is greater. OR If you are a contractor participating in the Permit Fee Account System and have adequate und~,,..¢~te'c~c'here r' i{vou want this processed thro~h your account {~ ~ / ~ (' Job Address 5 /N Value (Including Tabor and rnaterials) ~ t ~ Date ~ t/ Ow °~" Contractor ><ngle Family ^Duplex ^Multi-Famil ^Rental' o ercial Industrial y ^ Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater 0 Gas ^ Elect 0 PwrVnt Shower Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Electric Contractor Use /Nature of W Sanitary Sewer Storm Sewer ~ Water:Service 1 Disposal Drink Ftn Catch Basin Dishwasher ~ Wait. St. Wash Ftn Sump Pump Ice Chesl Urinal Ejector/Grind Exam Sink Gar Drain Water Softner SeulrySink Soda Disp Local Waste Hand: Sink' Coffee Maker Clothes Wshr F Prep Sink Ice Maker Bidet Serv Sink Site Drain Beer Tap IntGrease Trap Roof Drain Classrm Sink Eitt Grease Trap Standp Rec Surgeons Sink R.P:Z. Valve Eyi; Wash Stn Breakrm Sink Shame Sink Wtr Sewer Mtrs Dip Well Elr/WsLSink Deduct Meters Wtr Usage Mtrs Size „ Material ~, Electric Instaflation Verification form attached (If:ReplaSement) ,~ n Type # Conn. Type as~; 4/OS