HomeMy WebLinkAbout0133068-Plumbing (interior)OSHKOSH
ON THE WATER
Job Address 860-874 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
Valuation
Issued By
8 Shower
_ Floor Drain
12 Lndry Tray
12 Disposal
8 Dishwasher
Sump Pump
5 Classrm Sink
Breakrm Sink
EjectorlGrind
2 silcock
Category 440 -Industrial-Interior
Water Softner Wait. St.
3 Local Waste Ice Chest
Clothes Wshr 4 Exam Sink
_ Bidet Sculry Sink
4 Beer Tap Hand Sink
_ Lab Sink Plaster Sink
_ Sterilizer Surgeons Sink
_ Dip Well F Prep Sink
Drink Ftn Serv Sink
No 133068
Create Date 09/23/2008
Plan
Shamp Sink Coffee Maker
Flr/Vllst Sink Int Grease Trap
Catch Basin Ext Grease Trap
Wash Ftn RPZ Valve
Urinal Eye Wash Statn
Standp Rec 4 Wtr Sewer Mtrs
Ice Maker Deduct Meters
Gar Drain Wtr Usage Mtrs
Soda Disp
Date 09/23/2008
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
~ ~ s~neauie inspecz~ons please tali 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.
$28,200.00 Plan Approval $0.00 Permit Fees $434.00 ^ Permit Voided
c._ ..
09/22/2008 09:41 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
f~j001/004
I hereby apply for a permit m 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) will result in fees being doubled or 5100.00 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 pem~it application. Applications submitted without an EIV hen such is required, will not be
processed for Permit Issuance and will be returned for completion.
Q /~ /~ ~
Job Address slue (Including labor ens materials) l~ r/~~/~~ Date
Owner ~L ~ L-~:L Contractor
^Single Family ^Dupleg ^Multi-Family ^Rental ^Commerclal ^Industrial
Number of Fixtures:
Bathtub ~J Disposal Drink Ftn
Whirlpool Dishwasher ~ Wait St
Lavatory Sump Pump Ice Chest
Toilet EjectodGrind Exam Sink
Res. Sink Water SoRner 5culry Sink
Bar Sink
7--~ Local Waste Hand Sink
.
Water Heater ~~ Q~(.`jClothes Wshr F Prep Sink
^ Gas ^ Elect ^ PwrVnt Bidet Sere Sink
Shower
~ gear Tap Int Grease Trap
Floor Drain
~ Classrm Sink Ext Grease Trap
Lndry Tray
~'
Surgoons Sink
R.P,Z. Valve
Lab Sutk Btealam Sink Shame Sink
Plaster Sink Dip Well FldWst Sink
Sterilizer n/~
Hose Bibs dl
Misc.
Foctures
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffce Maker
Comm. Ice Maker
Site Draio
Roof Drain
Standp Rec
Eyo Wash Stn
Wtr Sewer Mfrs
Deduct Meters
Wtr Usage Mfrs
Electric Contractor (for projects not requiring an EIV Form)
Use /Nature of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
ozio~