HomeMy WebLinkAbout0133410-Plumbing (toilet)OSHKOSH
ON THE WATER
Job Address 1402 WISCONSIN ST
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Contractor M P KELLY
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
No 133410
Create Date 10/10/2008
Plan
_ Shower Water Softner Wait. St. Shamp Sink
_ Floor Drain Local Waste Ice Chest Flr/Vllst Sink
Lndry Tray Clothes Wshr Exam Sink Catch Basin
1 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
Coffee Maker
Int Grease Trap
Ext Grease Trap
_ RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Valuation ]~~$792.68 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
Issued By ~LJ ' r ~~ Date 10/10!2008
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Address 665 N MAIN ST
Agent/Owner
OSHKOSH
WI 54901 -4431 Telephone Number 231-1750
r o scneauie mspectlons please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
Owner ALEX/ANN V KUXHAUSE
Category 410 -Residential-Interior
~~
City of Oshkosh
Inspec~on Services Division
POBoxil3a
Oshkosh, VVI 54903-1130.. `~ .;g
Phone:.(920) ~Z36-5.050 ~ `'
• ON THE WATE y
Fax: (920) 236-5084
•3
,~
Pl~rr:»~bing Pew~i~t:A~pP•1:~~n
I here a 1 for a t to do~arid`~install'the following phtmbing on.the:pretitises •liet'eina$er desen'}smd,-the work to conform to the ~Y
~' ~ ~ Pew erformance of w~tieh all parEies hereto• sgree Ito and are:8ound by said statutes.
Wisconsin State t~lu~nbing~ Code, in the .p
•...Application(s)•and~fee(s) can be-brotig~it~to: City, `~a11,:Roori2fl5• or mailed~~tti~~~nspec~.ion~~Erv~es, PO Box 1128,
Oshkosh WI .503-11.28.. ~Corn~trl~ilci~~'wor~ without~permit(s)~will rere~u~~~iii fees berg do~ti~l~ezl;~ctr $100.00 plus the
,,, •.
normal permii•fee, which ever°is~:great~i•:
OR _ _ .... ..".~ ---.:r_:_._W ....~r.x,.,,e .r i]nxan.ita:!'vnds._.~[' c ere .~.
if you want this yrocess¢d fhroa~h vour account' :~. •1 `;
T nQr~ 30 - ~''
value ~ ~oamgYat~or nrd~. t~riaisy:: I I d4 ~ ,:~~ate9 . ~ .
Job Address -
Own. Q Q Y . ~ Z~ Contrast' ~ ~~
:1Z-en#-al. ~~ o~ . ercYal []I>tdusll~~1
gie:~atnily (~ ~ ~ ~
Numbelr of :I~x-tares:
Bathwb
Whirlpool
Lavatory
Toilet
Res. Sink.
..Bar Sink
Water Heater
0 Gas 0 BiecC ^ PwrVnt
Shower
'Floor Drain
Lrldry Tiayc,
Lab Sink
Plaster Sink _.~
Sterilizer _.,
Misc. '"
Fixtures
Electric.Contractor
use /Nature of
.Disposal
'Dishwasher
Sump Pump
Ejector/Grind
Water Softncr
..Local Wasto
Clothes Wshr
$TaCt
Beer Tap
ClassrrmSink
;Surg~tinS,Sink
BrealnTn`Sink
Dip Well
Drink Ftn Catcli.Basin
:.:.,- .Wait.,St. `W~sti~i:fi .
~•Ice•,Chest _
•• -- Lhiriaf.
;Ezatsi $ink
,.,. Gar• Drain
Soda •D.i¢p.
~•
~!~` ColfCe;Maker
F I?rep SinB° . Ice Maker •
Serv Sink Site Drain
-InGi~f+~ase•~tap .. hoof Drain
>I~iira~se~.'irap Standp Rec
R:P:Z:~V$13ie fi}ri: Wash Stn
.~hamp`~ittk VVtr Sewer.Ivl;is ,___~~
.. _:&ir/Wst~Sink .~~ •...l7aduCt Meters
. r:~sage Mtrs
~ b
.,.
_
CC~R,: ~:ir~~~.~1
u QQ~
i,~'~~a~ian:~form attached
,. ,~.
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