HomeMy WebLinkAbout0132833-Plumbing (laterals)CITY OF OSHKOSH No 132833
OS~-iKOSH
ON THE WATER
Job Address 860.874 NEBRASKA ST
Contractor O'NEILL ENTERPRISES INC
PLUMBING PERMIT -APPLICATION AND RECORD
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
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
4" sanitary sewer, 1-1/4" copper
red plan.
Sanitary Sewer 4"
Storm Sewer
1-112" 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
Parcelld #
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 ail 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
t o scneaule 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 pertormed 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 FIrIVllst 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 17:05 FAX 19202302008 ONEILL ENTERPRISES
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920)236-5050
Fax;(920)236-5084
Plumbing Permit Application
I~jool/ool
I hereby apply for a permit to do and instal( 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 pernut(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 (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) nmst be sabmitted
with the permit application. Applications submitted without an EIV when sach is required, will not be
processed for Permit Iss9uance aad will be returned for completion.
Job Address -- O Value (Including labor and macoriats) O ~ Date
Owner Contractor ~ -
^Single Family ^Duplex ^Multi-Family ^Rental Commercial ^Industrial
Number of Fiztures:
Bathtub Disposal Drink Fin Catch Basin
Whirlpool Dishwasher Wait SC Wash Ftn
Lavatory Sump Pump Ice Chest Urinal
Toilet EjectoNGrind Exam Sink Gar Drain
Res. Sink Water Softrret Sculry Sink Soda Disp
Bar Sink Local Waste Hand Sink Coffee Maker
Water Heater Clothes Wshr F Prcp Sink Comm. Ice Maket
^ Gas 0 Elect O PwrVnt Bidet Serv Sink Site Drain
Shower g~ Tap Int Grease Trap Roof Drain
Floor Dnun Classrm Sink Ext Grease Trap Standp Rec
Lndry Tray Surgeons Sink R.PZ. Valve Eye Wash Stn
Lab Srnk Breakrtn Sink Shamp Sisk Wtr Sewer Mtra
Plaster Sink Dip Well Flr/Wst Sink Deduct Meters
Sterilizer Hose Bibs Wtr Usage Mfrs
Misc.
Fixtures
Electric Contractor (for projects not requiring an EIV Form)
Use /Nature of Work I Y17~".~, p~ ~J~}Q/1 ~ Ll~a.~
Size Material Type # Conn. Type
Sanitary Sewer !-, l l P~~ S~ C
Storm Sewer
Water Service
o~io~
WARD: ~ ~ r°-~
DATE: ~-/~--a.~
DHL#:
LOCATION: ~foC~ ' ~ ~~~(1e~~~~ ~
WORK DONE: ~c~v, ~~y ~ T.~ .~ ``,
TAP
CUT-IN
SIZE: / /y
CONTRACTOR:
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INV#: QTY:
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PARTS:
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MEASUREMENTS:
3.2' ~, ~ ~'. !'~k~,
PERMIT#:
BLACKDIRT: YES
CONCRETE: YES
DETAILS: -
GRAVEL: -~
REMARKS: Perpli-~'~ ova ~ a~
WORKERS:~~ B;
t~~ Job ~ rc~5 ~