Loading...
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 tv.~ Jam ~ ~ ~sy