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
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