HomeMy WebLinkAbout0132828-Plumbing (laterals)CITY OF OSHKOSH No 132828
OSHKOSH
ON THE WATER
Job Address 800-814 NEBRASKA ST
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
PLUMBING PERMIT -APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
plan.
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
sewer, 1-1/4" copper
Sanitary Sewer 4"
Storm Sewer
main to stop box and 1-1/2" plastic water lateral from stop box to building per
Material Type # Conn. Type
Plastic Lateral 1 New
Water Service 1-1/4" Copper Lateral 1 New
1-1/2" Plastic Lateral 1 New
Parcel Id #
Valuation $3,000.00 Plan Approval $0.00 Permit Fees $100.00 ^ Permit Voided
Issued By Date 09/12/2008
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you pertorm the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Address 522 W 6TH AVE
Agent/Owner
OSHKOSH
WI 54902 - 5916 Telephone Number 920-230-2007
~ ac~eau~e mspecnons please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
Owner MK-1 LLC Create Date 09/12/2008
Category 430 -Industrial-Exterior (laterals) Plan Z3-325-0808-P
Wait. St. Shamp Sink Coffee Maker
Ice Chest FINV1/st Sink Int Grease Trap
Exam Sink Catch Basin Ext Grease Trap
Sculry Sink Wash Ftn RPZ Valve
Hand Sink Urinal Eye Wash Statn
Plaster Sink Standp Rec Wtr Sewer Mtrs
Surgeons Sink Ice Maker Deduct Meters
F Prep Sink Gar Drain Wtr Usage Mtrs
Serv Sink Soda Disp
09/10/2008 17:01 FAX 19202302008 ONEILL ENTERPRISES
City of Oshkosh
Inspection Services Division
P 0 Box 1130
Oshkosh, WI 54903-1130
Phone: (920)236-5050
Fax: (920)236-5084
Plumbing Permit Application
~ 001/003
I hereby apply for a permit to do and install the following plumbing on the premises hereina$er 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 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
** A.dvisory -For applicable projects, an Electrical Installation Verification (EI:V) foam, signed by the Electrical
Contractor or Homeowner (for installations showed to be performed by the homeowner) mast be submitted
with the permit application. Applications sabmitted wfthont an EIV when such is required, will not be
processed for Permit Issuance and wfil be retarncd for completion. ~ Q
Job Address Value (Including labor and mat~iats) ~ ~ Date -(
Owner Contractor ~ ~ ~
^Single Family ~Duplez ^Multi-Family Rental Comme cial Industrial
Number of Fixtures:
Bathtub ,Disposal Drink Ftn Catch Basin
Whirlpool Dishwasher Watt. St Wash Fta
Lavatory Sump Pump Ice Chest Urinal
Toilet EjectodGrind Exam Sink Gar Drain
Res. Sink Water Sot'trter Sculry Sink Soda Disp
Bar Sink Local Waste Hand Sink Coffee Maker
Water Heater Clothes Wshr F Prep Sink Comm. Ice Maker
^ Gas ^ Elect ^ PwrVnt Bidet Serv Sink Site Drain
Shower Beer Tap Int Gtease Trap Roof Dtain
Fl~r Dim ~lassrm Sink Ext Grease Trap Standp Rec
Lndry Ttay Surgeons Sink RPZ. Valve Eye Wash Sm
Lab Sink Breakrm Sink Shamp Sink Wtr Sewer Mfrs
Plaster Sink Dip Well FldWst Sink Deduct Maters
Sterilizer Hose Bibs Wtr Ussge Mfrs
Misc.
Fixtures
Electric Contractor (for projects not requiring an EIV Form)
r
Use /Nature of Work e/irp o,~',1~11~P/L ~ ~,U(1~~i1
Size Material Type # Conn. Type
Sanitary Sewer ~ t ~ PVC S FCC ida
Storm Sewer
Water Service (i~Z" ~t-y
~~ .
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waxn:~,~
DATE:~~~_
DHL#:
LOCATION: ~(~~ - ~~/ ~.~ f ~-~~ lCs:
WORK DONE• /' ~~ `~ T~ ~ ~ °'
TAP ~
CUT-IN
SIZE: / ~~/
CONTRACTOR:
INV#: QTY: PARTS:
_~ _ y ~'_ ~ c^ ,cad' t
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MEASUREMENTS:
PERMIT#: ~-
GRAVEL:
REMARKS:
~~rm-t ~ a~ ~ a~,
BLACKDIRT: YES '(
CONCRETE: YES
DETAILS: -
WORKERS: ~ ~-
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