Loading...
HomeMy WebLinkAbout0134061-Plumbing (abandon laterals) OSHKOSH ON THE WATER Job Address 2107 JACKSON ST 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 CITY OF OSHKOSH No 134061 PLUMBING PERMIT -APPLICATION AND RECORD Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Valuation Issued By Water Softner Local Waste Clothes Wshr Bidet Beer Tap Lab Sink Sterilizer Dip Well Drink Ftn Date 11/17/2008 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 Agent/Owner Address 522 W 6TH AVE OSHKOSH WI 54902 - 5916 Telephone Number 920-230-2007 r o scneauie 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. Owner NORTHWEST INVESTMENTS OF LA CROSSE Create Date 11/17/2008 Category 430 -Industrial-Exterior (laterals) Plan Wait. St. Shamp Sink Coffee Maker Ice Chest Fir/Vllst Sink Int Grease Trap Exam Sink Catch Basin Ext Grease Trap Sculry Sink Wash Ftn RPZ Valve Hand Sink Urinal Eye Wash Statn Plaster Sink Standp Rec Wtr Sewer Mtrs Surgeons Sink Ice Maker Deduct Meters F Prep Sink: Gar Drain . Wtr Usage Mtrs Serv Sink Soda bisp $1,000.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided 11/17/2008 08:43 FA% 19202302008 ONEILL ENTERPRISES 1002/003 City of Oshkosh Inspection Services Division P O Box 1134 Oshkosh, WI 54903-] 130 Phone: (920) 236-5050 Fax; (920)236-5084 Plumbing Permit Application 1 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 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 (ETV) form, signed by the Electrical Contractor or Homeowner (for installations allowed m be performed by the homeowner) must be submitted with the permit application. Applications submitted without an E1V when such is required, will not be processed for Permit Issuance and will be returned for completion. ~// Job Address ~- ~~~ Value (Includmg Tabor and materia-s) /,i t~ ~ Date Owner ~ Contractor - C. ^Single Family ^Duplez ^Multi-Family ^Rental ^Commercial Industrial Number of Fyatures: Bathtub Disposal Whirlpool Dishwasher Lavatory Sump Pump Toilet Ejector/Crrind Res. Sink Water 5ot4rer Bar Sink Local Waste Warr Heater Clothes Wshr ^ Gas ^ Ekct ^ PwrVnt Bidet Shower Beer Tap Floor Drain Classrm Sink Lndry Tray Surgeons Sink Lab Sink Breakrm Smk Piaster Sink Dip Well Sterilizer Hose Bibs Misc. Fixtures Drink Ftn wait St Ice Cheat Exam Sink Sculry Sink Hand Sink F Prep Sick Serv Smk Int Crrease Trap Ext Grease Trap RPZ. Valve Shamp Sink FlrlWst Sink Catch Basin wash Ftn Urinal Gar Drain Soda Disp Coffee Maker Comm. [ce Maker Sitc Drain Roof Drain Standp Rec Eye Wesh Stn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mfrs Electric Contractor (for projects not requiring an EIV Form) Use /Nature of Work ~ ~~,~~~('/1 '~ ~~~~~ Size Material Type # Conn. Type Sanitary Sewer Stone Sewer Water Service o~/o~ ~~~vYicvua tZ:34 FAg 19202302008 ONEILL ENTERPRISES X1002/003 City of OsbiCOSh Engineering Dept. Location of Sarritafy --Storm _ V1/ater Laterals Stet bandonment '_ . _ New instaiaation Address.. ~ ~~C ~~~>7 S~ ~d ~ . ~c(~Sen s7 ; Date: i ~~_~ ~ ra ~ gy; C - . -. _ F Tune ~ Material Size p. ePth ~ ~Pr ~ ~ '~'! Pr r stS Location C~sT ~, Sanitary ~,~ ~ ~ ~ 3y" (~ /~t,V~~' ~~T .G,n .,4~~- Cur fo 3 ~ comes?` a~ ~q~(es~~ s?`. G~~6 Storm . f :! Water - Property File copy