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HomeMy WebLinkAbout0134062-Plumbing (abandon laterals)OSHKOSH ON THE WATER Job Address 2127 2129 JACKSON ST CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Owner JACKSON STREET DEVELOPMENT LLC 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 No 134062 Create Date 11/17/2008 Category 430 -Industrial-Exterior (laterals) Plan Shower Water Softner Wait. St. Shamp Sink Floor Drain Local Waste Ice Chest FIrNVst 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 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 applignt 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 Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs WI 54902 - 5916 Telephone Number 920-230-2007 ~ ~ scneaure rnspecuons please can 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. $1,000.00 Plan Approval $0.00 permit Fees $25.00 ^ Permit Voided 11/17/2008 08:43 FA% 19202302008 ONEILL ENTERPRISES City of Oshkosh Inspection Services Division P O Box 1 l30 Oshkosh, WI 54903-1130 Phone: (920)236-5050 Fax;(920)236-5084 Plumbing Permit Application 001/003 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 agree to and are bound by said statutes. • Appiication(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 S 100.00 plus the normal permit fee, which ever is greater. OR ** Advisory -For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical Contractor or Homeowner (for installations allowed to be performed by the homeowner) mast be submitted . with the permit application. Applications sabmitted without an EIV when such is required, will cot be processed for Permit Issuanc/e anld/will be returned for completion. Job Address~~~ ~ (,~,.~~IC.~YL Value (Including labor and materials) ~y7 Date !~ ~ ~/ - - Owner Contractor ^Single Family ^Duplea ^Multi-Famity ^Reutal ^Commercial Industrial Number of Futures: Bathtub Disposal Drirtk Ftn Whirlpool Dishwasher Wait St. Lavatory Sump Pump Ice Chest Toilet Ejector/Grind Exam Sick Res. Sink Water Softner Sculry Sink Bar Sink Local Waste Hand Sink Waxy Heater Clothes Wshr F Prep Sink ^ Gas ^ Elect C' PwrVnt Bidet Serv Sink Shower Bar Tap Int Grease Trap Floor Dram Classrm Sink Ext Grease Trap Lndry Tray Surgeons Sink RP.Z. Valve Lab Smk Breakrm Sink Shame Sink Plaster Sink Dip Wetl Ftr/Wst Sink Sterilizer Hose Bibs Misc. Fixtures Electric Contractor (for projects not requiring an EIV Form) ~- -. ~ Use /Nature of Work Catch Basic Wash Ftn Urinal Gar Drain Soda Disp Coffee Maker Comm. Ice Maker Situ Drain Roof Drain Standp Rec Eye Wash Stn Wtr Sewer Mfrs Deduct Meters W lr Usage Mtrs Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service 07/07 •~ iacuz3oZ008 ONEILL E NTERPRISES X1003/003 City of Osl~osh Engineering Dept. tion of Sanitary - Stor.~ _ Water Laterals Street Abandonm . t -__ New installation ~ Gc(~s~~~ ~ Address a;~~ 7 _ a. ~~~ ~ c(~ S ( pate: i ~^ (.o By: ~ r ~`,.~ Material d $ ~ /Vr~ (~ ~~~~~F~S+S, Size p- . Location Sanitary ~^ ~~, . ~ ~ , d8 ~ /~rTG~ o~ ~c;~ (~F o~~,~~` -.. Y r ~/ (,vas']" v ~ ~,c(Cse~ SP. ~~~~ S#orm Water ~ - _ - Property File copy