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~
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F
Tune ~ Material Size p. ePth ~ ~Pr ~ ~ '~'! Pr r stS
Location
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fo 3 ~ comes?` a~ ~q~(es~~ s?`. G~~6
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Water -
Property File copy