HomeMy WebLinkAbout0132463-Plumbing (2 sump pumps)OSHKOSH
ON THE WATER
Job Address 1006 EVANS 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 B LEE POGUE
Category 410 -Residential-Interior
No 132463
Create Date 08/25!2008
Plan
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 2 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
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
Agent/Owner
OSHKOSH
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
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.
\___ $600 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
City of Oshkosh ~'
Inspection Services Division ~ j
P O Box 1130 ,~
Oshkosh, WI 54903-1130
Phone: (920) 236-5050 _
Fax: (920) 236-5084
THE W/~TER
i
Plumbing Permit Application
I hereby apply for a permit to do;and 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:bound by said statutes. ,
• Application(s) and fee(s) can be brouglit.to City Hall, Room 2U5 or mailed to Inspection Strvices, PO Box 1128,
Oshkosh WI 54943.11.28.. Gommencirlg; work without permit(s) will result in fees being doubled:.or $100.00 plus the
normal permit fee, which ever is greater.
OR --
1 ou are a con ra.ctor artici atin in the Per it.- ,ee: Accou:nt.S stem and have ad uate: un e~rec7c~7iere
i, you want this processed throu~vour account
Job Address ~ Y/ ~ V /'rN,bv Value (including tabor and mattnals) O ~~ Date ~ ~'
Owner ~.- Q ~, Contractor
- ... X
wgle Family ODup ex ^Multi-Fat>~i1~ []Mental` []Co ercal ~Indust~i~l
- _ ~ _~~-
Nullnber of Fixtures:
Bathhtb Disposal Drink Ftn Catch Basin
Whirlpool Dishwasher Wait. St.
2 Walk Fm
Lavatory Sump Pump ~.1 Ice;Chest Urinal
Toilet Ejector/Grind Exam Sink Gar Drain
Res. Sink Water Softner Sculry'Sink Soda Disp
.Bar Sink ,Local Waste Hand 5inlc Coffee-Maker
Water Heater Clothes Wshr F Prep Sink Ice Maker '`
O Gas 0 Elect ^ PwrVnt Bidet Serv Sink
Shower Site Drain
Beet Tap
Floor Drain
C1asslm Sink
Lndry Tray,
Surgeons.Sink
Lab Sink
Breakrm Sink
Plaster Sink
Dip Well
Sterilizer
Miss. -
Fixtures
Electric Contractor
Use /Nature of Work
Size
Sanitary Sewer
:Storm:Sewer_
Water~Service
-lnt=:Grease-Trap
EzfGfease'frap
R.P.Z. Valve
champ Sink
Flr/Wst-Sink
-Roof Drain
Standp Rec
_~ Eyt Wash Stn
Wtr Sewer.Mtrs
Il~duct Meters
Wtr Usage Mtrs
_ OR ^Electr:~~,in~tallaton Verification .farm attached
(If Reptacertiert) ,
^ Type # Conn. Type
~,
~~; J
E ~ ~'
4/05