HomeMy WebLinkAbout0132829-Plumbing (laterals)OSHKOSH
ON THE WATER
Job Address 820-834 NEBRASKA ST
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner MK-1 LLC
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 132829
Create Date 09/12/2008
Category 430 -Industrial-Exterior (laterals) Plan
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest FIr/V11st 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
Classrm Sink Sterilizer Surgeons Sink Ice Maker
Breakrm Sink Dip Well F Prep Sink Gar Drain
Ejector/Grind Drink Ftn Serv Sink Soda Disp
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 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
Address 522 W 6TH AVE
Agent/Owner
OSHKOSH
Date
WI 54902 - 5916 Telephone Number 920-230-2007
~•.~~a~~~~ ~~~ape~uvns pease can ine mspecnon Kequest 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.
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
09/10/2008 17:02 FAX 19202302008 ONEILL ENTERPRISES C~j002/003
City of Oshkosh
Inspection Services Division
P O Box1130
Oshkosh, WI 54903-1130
Phone: (920)236-5050
Fax: (920)236-5084
Plumbing Permit Application
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 ail 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 (EIS form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted
with the permit application. Applications submitted without an EIY when such is required, will not be
processed for Permit IspQsu2ance and will be returned for completion. ~ //~~
Job Addr - t~3 Value (Including labor and materiels) VOO• ~ Date ! O
Owner Contractor
^Single Family ^Dupleg ^Multi-Family ^Rental ommercial ^Industrial
Number of Futures:
Bathtub Disposal Drink Fm Catch Basin
Whirlpool Dishwasher Wait St. Wash Ftn
Lavatory Sump Pump Ice Chest Urinal
Toilet Ejector/Grind Exam Sink Gar Drain
Res. Sink Water Sofh-er Sculry Sink Soda Disp
Bar Sink Local Waste Hand Sink Coffee Maker
Wafer Heater Clothes Wshr F Prep Sink Comm. Ice Maker
O Gas ^ Elect ^ PwrVnt Bidet Serv Sink Site Drain
Shower Baer Tap Int Grease Trap Roof Drain
Floor Dram Classtm Sink Ext Grease Trap Standp Rec
Lndry Tray Surgeons Sink RPZ. Valve Eye Wash Stn
Lab Sink
Breakrm Sink
Shamp Sink
Wtr Sewer Mfrs
Plaster Smk Dip Well Flr/Wst Sink Deduct Meters
Sterilizer Hose Bibs Wtr Usage Mtrs
Misc.
Fixtures
Electric Contractor (for projects not requiring an EIV Form)
Use /Nature of Work ~`~~ ~.~.~;l,(~Piy ~, (,(~~t
Size Material Type # Conn, Type
Sanitary Sewer ~ l' ~V'G ~ ~C ~~
Storm Sewer p,,,~
Water Service ~ /Z +I + - ~~'y
o~/o~
WARD: ~ ~.D
DATE: 9 - / 7- ~
DHL#:
LOCATION: ~~n -~ ~ ;cj ,~CJ,~ ~rw~1~c,
WORK DONE•_ /~1 ~, ~,~~ ~ ~1f .~ , ! a ~ o n $",'rt ~
INV#: QTY: PARTS:
~~ ~ ~
~ S~ ~. r /~` u~Sy7~ ~dk G~I~GO ~ P.r' f
TAPS,
CUT-IN
SIZE: ,~
CONTRACTOR:
MEASUREMENTS:
PERMIT#:
BLACKDIRT: YES ~
CONCRETE: YES
DETAILS:
GRAVEL:
REMARKS: ~~Prm; ~- ~ a~ I ~~
WORKERS: S'Cr- i
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