HomeMy WebLinkAbout0132462-Plumbing (shower & toilet)OSHKOSH
ON THE WATER
Job Address 516 W 16TH AVE
Owner JACK L/SHELLY L FARVOUR JR
No 132462
Create Date 08/25/2008
Contractor M P KELLY
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
UselNature
of Work
Category 410 -Residential-Interior
_ Shower 1 Water Softner Wait. St. Shamp Sink
_ Floor Drain Local Waste Ice Chest FIrIWst Sink
Lndry Tray Clothes Wshr Exam Sink Catch Basin
1 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
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Parcel Id #
1301330000
Valuation
Issued By
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
Address 665 N MAIN ST
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
AgenUOwner
OSHKOSH
WI 54901 - 4431 Telephone Number 231-1750
r v scneaure rnspectrons 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.
~ $-~~2,60000 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided)
City of Oshkosh
Inspection Services Division 1
P O Box 1130-
Oshkosh, WI 54903-1130.. t
Phone: {920) 236-5050 J~/
Fax: (920) 236-5084 IIK H
ON THE WATER
i
d
Plumbing Permit ~4pp#icatian
I hereby apply for a permit to do and install the following pitunbing on he premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and aze ;bound by said statutes.
A lication s and fees can be brow hf#o. Ci Ha11,:Room 205 or mailed to Inspection Services, PO Box 1128, ~~
• pP () () g ty
.Oshkosh WI 54943-11.28.. GommenctrYg work without permit(s) will result in fees being dtaubled: or $100.00 plus the
normal permit fee, which ever is greater.
OR ~~~
If youare. a contractor n articipatnQ in the Permit ee Account System and have adeq uate fund
~Jlec7E7tere
if you want this processed through your account (~ ,
''+
Job Address ..~ i ~ Illy' L Value (including tabor ana materials) ~`~ ~ ' C7(~ Dat 4/~ ~~
Ovine ~ ~'t'~'~'Contractor -
g1e Family O Dup ex ^Multi-Fa~nil
Y Rental'
^ []Co,' ercal
~Indus>~rial ` 5
~;:
Number of Fixtares:
Bathtub Disposal Drink FM Catch Basin
Whirlpool 'Dishwasher Wait. St. Wash'Ftn
Lavatory Sump Pump [ct:Chest ~ Urinal
Toilet ~ Ejector/Grind Exam Sink Gar Drain
Res. Sink Water Sooner _ Sculry"Sink Soda Dsp
Baz Sink Local Wasta
Mand Sink
Coffee-Maker '~
Water Heater
0 Gas O-Elect 0 PwrVnt Clothts Wshr F Pr Sink
~
Ict Maker
Shower Bidet Serv Sink Site Drain
Floor Drain Beer Ta
P
In~Grease Trap
Roof Drain
Lndry Tray. Classrm Sink
ExtCrrease Trap
Standp Rec
..,
Lab Sink Surgeons Sink R P.Z:"Valve '
Eyt Wash Stn
Plaster Sink Breakrm Sink ~hampSink
Wtr Sewer Mhs
-T-
Sterilizer Dip Welt )rlr/Wsf Sink
l?~duct Meters
Misc. Wtr Usage Mtrs
.Fixtures ,'
Electric Contractor OR:
[]Electric;i~tstallatiolo'~ecatiq~n
facm attached
If:Rep>acemettit) , .
Use /Nature o#' Work ~~
i
Size
Sanitary Sewer Material Type
." # Conn. T e
~ ~
f
. ~ tStortn;Sewer -~
~
.. .Water=Service _ ~ ! -.~
4/OS ~