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 _
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S#orm
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Property File copy