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HomeMy WebLinkAbout0133639-Plumbing (bath remodel)OSHKOSH ON THE WATER Job Address 1219 BAY SHORE DR CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD 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 Owner MARK A/KRISTINE K BRADISH Category 410 -Residential-Interior 1 Shower 1 Water Softner Wait. St. Shamp Sink Floor Drain Local Waste _ Ice Chest Flr/4Vst Sink 1 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 _ EjectorlGrind Drink Ftn Serv Sink Soda Disp No 133639 Create Date 10/22/2008 Plan Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs 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 Date 10/22/2008 AgenUOwner Address 522 W 6TH AVE OSHKOSH WI 54902 - 5916 Telephone Number 920-230-2007 To schedule 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 performed within two business days from the time the project is ready. ` $~ 2,800_00 Plan Approval $0.00 Permit Fees $28.00 ^ Permit Voided 10/22/2008 08:09 FA% 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 dpplication t~jool/ool 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 agrce 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 t~esult in fees being doubled or $100.00 plus the normal permit fce, which ever is greater. OR ** Advisory -. For applicable projects, an Electrical Installation VeriScation (E1~ form, signed by the Electrical Contrractor or Homeowner (for installations allowed to be performed by the homeowner) mast be submitted with the permit application. Applications submitted without an EIV when such is required, w>'Il not be processed for Permit Issuance and will be re ed for completion. ~ Q g ~},~ Job Address 1~alue (Ir-cmding labor and materials) U ~tf ~ V _Date Owner Contractor ~ ,;~ Single Family ^Duplex ^Multi-Family ^Reutal ^Commerclal ^Industrlal Number of Fiztures: Bathtub ~_ Disposal Drink Fta Whirtpoo! Dishwasher Wait. St. Lavatory ~_ 5ump Pump Ice Chest Toilet _~ Ejector/Grind Exam Sink Res. Sink Water 5oftner Sculry Sink Bar Sink Local Waste Hand Sink Water Heater Clotltes Wshr F Prep Sink ^ Gas ^ EIeU ^ PwrVat Shower ~ Bidet Serv Sink Beer Tap Int Grease Trap Floor Drain Classrm Sink Ext Grease Trap Lndry Tray Surgeons Sink RP.Z. Valve Lab Smk Breakrm Sink ~ 5luunp Sink Plaster Sink Dip Well Flr/Wst Sink Sterilizer Hose Bibs Misc. Fixtures Electric Contractor (for projects not requiring an EIV Form) Use /Nature of Work size Sanitary Sewer Storm Sewer Water Service Type # Conn. Type Catch Basin Wash Fm Urinal Gar Drain Soda Disp Coffce Maker Comm. Ice Maker Site Drain Roof Dram 5tandp Ree Eye Wash Stn Wtr Sewer Mt,s Deduct Meters Wtr Usage Mfrs o~/o~