HomeMy WebLinkAbout0132753-Plumbing (2 water heaters)/~ CITY OF OSHKOSH
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 120 122 STONEY BEACH RD Owner JACK L DARLAND
Contractor O'NEILL ENTERPRISES INC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
No 132753
Create Date 09/05/2008
Category 411 -Residential-Water Heaters 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 Lab Sink Plaster Sink Standp Rec
2 Classrm Sink Sterilizer Surgeons Sink Ice Maker
_ Breakrm Sink Dip Well F Prep Sink Gar Drain
_ Ejector/Grind Drink Ftn Serv Sink Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
_ Wtr Sewer Mtrs _
Deduct Meters
Wtr Usage Mtrs
Valuation $1,200.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
Issued By (~~/yy(/O Date 09/09/2008
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Whiie 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 522 W 6TH AVE
Agent/Owner
OSHKOSH
WI 54902 - 5916 Telephone Number 920-230-2007
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 performed within two business days from the time the project is ready.
09/04/2008 15:28 FAX 19202302008
Ciiy of Oshkosh
Inspection Services Division
P O B 1130
ox
Oshkosh, WI 54903-1130
Phone: (920)236-5050
Pax: (920)236-5084
ONEILL ENTERPRISES
Plumbing Permit Application
tool/ool
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the
Wiswnsin 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
** Advisory -For applicable projects, an Electrical Installation Verification (E1~ form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) mast be submitted
with the permit application. Applications submitted without an EIV when such is required, wit not be
processed for Perml~it Issuance and will be returned for completion. /~ / aU ~ q ~/ o
Job Address v Value (Including labor and materials] ~" - Date ! / ~8
Owner ~
Contractor Q,L.
^Single Fam Duplex ^Multi-Family Rental []Commerc al ^Indastrial
Number of Fixtures:
Bathhrb Disposal
Whirlpool Dishwasher
Lavatory Sump Pump
Toilet Ejector/Grind
Res. Sink Water Sottlrer
Bar Sink Local Waste
r Heater ~ Clothes Wshr
Gras ^ Elect ^ PwrVnt Bidet
Shower Beer Tap
Floor Drairr Classrm Sink
Lndry Tray Surgeons Sink
Lab Sink Breakrm Sink
Plaster Smk
Dip Well
Sterilizer Hose Bibs
Misc.
Fbctures
Drink Ftn
Wait St
Ice Chest
E7ram Sink
Sculry Sink
Hand Sink
F Prep $ink
Serv Sink
Int Grease Trap
Ext Grease Trap
RP.Z. Valve
Shame Sink
Flr/Wst Sink
Electric Contractor (for projects not requiring an EIV Form)
Use /Nature of Work
Size Material Type
Sanitary Sewer ; X02 U O
Storm Sewer
Water Service
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Comm. Ice Maker
Site Drain
Roof Drain
Standp Rec
Eye Wash Stn
Wtr Sewer Mfrs
Deduct Meters
W>r Usage Mtrs
~v,~~ ~.~
# Conn. Type
~~
07/07