HomeMy WebLinkAbout0132830-Plumbing (laterals)CITY OF OSHKOSH No 132830
OSHKOSH
ON THE WATER
Job Address 840-854 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
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
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 Flr/VVst Sink Int Grease Trap
Exam Sink Catch Basin Ext Grease Trap
Sculry Sink Wash Ftn RP2 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
sanitary sewer, 1-1/4" copper water lateral from
plan.
Size
Sanitary Sewer 4"
Storm Sewer
Water Service
1-1/4"
1-1/2"
and 1-1/2" plastic water lateral from stop box to building per
Material Type # Conn. Type
Plastic Lateral 1 New
Copper
Plastic
Parcel Id #
Valuation
Issued By
$3,000.00 Plan Approval $0.00 Permit Fees
Lateral 1 New
Lateral 1 New
$100.00 ^ Permit Voided
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 Date
Address 522 W 6TH AVE
Agent/Owner
OSHKOSH
WI 54902 - 5916 Telephone Number 920-230-2007
aw~~suu~ts mspecnons grease can the mspectlon 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.
09/10/2008 17:02 FAX 19202302008 ONEILL ENTERPRISES C~J003/003
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920)236-5050
Fax;(920)23b-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 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) wilt 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 (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) mast be submitted
with the permit applit:aiion. Applications submitted without an EIV when such is required, w~1 not be
processed for Permit Issuance and will be returned for completion. ~ //yy~~
Job Address ~ ~ d~ ~ Value (Including labor and materia3s) ~~WO ~ Date Q
Owner ~~r,{l)/1~ Contractor ~ / - c./!
^Single Fatuity ^Duplez ^Multi-Family ^Rental Commercial ^Industrial
Number of Fiztures:
Bathtub Disposal Drink Ftn Catch Basin
Whvlpool Dishwasher Wait. St Wash Ftn
Lavatory Sump Pump Jce Chesf Urinal
Toilet Ejector/Grind Exam Sink Gar Draia
Res. Siok Water Softner Sculry Sink Soda Disp
Bar Sink Local Waste Hand Sink Coffce Maker
Water Heater Clothes Wahr F Prep Sink Comm. ice Maker
^ Gu Q Elect ^ PwrVnt Bidet Serv Sink Site Drain
Shower gce,. Tap Int Grease Trap Roof Drain
Floor Drain Ciasstm Sink Ext Grease Trap 5tandp Rec
Lndry Ttay Surgeons Sink R.P.Z. Valve Eye Wash Stn
Lab Sink
Bteakrm Sink
Shamp Sink
Wtr Sewer Mfrs
Plaster Sink Dip Well Flr/Wst Sink Deduct Meters
Sterilizer Hose Bibs
Wtr Usage Mfrs
Misc.
Fixtures
Electric Contractor (for pr,,oje~cts nnot requiring an EIV Form)
Use /Nature of Work \.I~ s~'GUt.U~C,~ JQ~G~~~l ~ ~
size lvtaterial ~~--~~~--.,y++pe # cone. Type
Sanitary Sewer ~ t t PUG ~1G ~~
Storm Sewer p
Water Service ' ~ ° t-1~~...y
o~/o~
[*]
waRD: 3 ~ _
DATE: ~i% , .~
DHL#:
LOCATION: ~~/D - SS~~~.s~~.
WORK DONE•_ jyJ~/(e % ~~ ~ ~~ or, C .. ~~ `n TAP ~l
CUT-IN
SIZE:
CONTRACTOR:
d ~G'e,_~
INV#: QTY: PARTS:
et ~~ ~G' ~'~ ~
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MEASUREMENTS:
J ~ 1 ~ ~~ ~t ~: S![.tJ
~f.~r S~ ~~~ ~dZt ~-
PERMIT#: ~-
BLACKDIRT: YES TO
CONCRETE: YES
DETAILS: -
GRAVEL:
REMARKS: ~~~~li~~aa ~d~
WORKERS:S~
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