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HomeMy WebLinkAbout0133656-Plumbing (laterals)CITY OF OSHKOSH OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1901 OREGON ST / 211 W 19TH AVE Owner DEL TRITT CONSTRUCTION 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 No 133656 Create Date 10/23/2008 Category 401 -Residential-Exterior (laterals) 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 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 $5,000.00 Plan Approval $0.00 Permit Fees $150.00 ^ Permit Voided Issued By Date 10/23/2008 In the performance of this work, 1 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 ~ v scneauie mspect~ons 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. 10/22/2008 08:24 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 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 patties 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 $ ]00.00 plus the normal permit fee, which ever is greater. . OR 'k* Advisory • For applicable projects, an Electrlcal Installation VeriScation (EIV) form, signed by the Electrical Contractor or homeowner (for installations allowed to be performed by the homeowner) mast be sabmitted with the permit application. Applications sabmitted without an EIV when such is required, will not be processed for Permit Issuance and w~l be returned for completion. Job Address ~ Value (Including labor and materials) G^~ Date Owner Contractor ~ ^Single Family Duplex ^Multl-Family ^Rental ^Commerctal ^Industrial Number of Fixtures: Bathtub Disposal Drink Ftp Whirlpool Dishwasher Wait. St Lavatory Sump Pump Ice Chest Toils Ejector/Grind Exam Sink Res. Sink Water Softner Sculry Sink Bar Sink Local Waste Hand Sink Water Heater Clothes Wshr F Prep Sink O Gas 0 Elect ^ PwrVnt .Bidet Setv Sink Shower B~ Tap Int Grease Trap Floor D[sin Classrm Sink Ext Grease Trap Lndry Tray Surgoons Sink RP.Z. Valve Lab Sink Breakrm Sink Sharnp Sink Plaster Smk Dip Well Flr/Wst Sink Sterilizer Hose Bibs Misc. Fixtures Catch Basin Wazh Fm Urinal Gar Drain Soda Disp Coffce Maker Comm. Ice Maker Site Drain Roof Drain Standp Rec Eye Wash Stn Wtr Sewer Mfrs Deduct Meters Wtr Usage Mfrs Electric Contractor (for projects not requiring an EIV Form) Use /Nature of Work ;.,IRJ~-~QQ .~6L9Y1 ~ 4~~ ~ I~lti~~ Size Material Type # Conn. Type t~ tt , Pic. ~p~~ Sanitary Sewer ~ ~ ~~ ~ Stone Sewer L.t U ~ ~~' .,., ..~ Water Service f ~~ (l pC~y ~,~ f k J o~/o~