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HomeMy WebLinkAbout0134269-Plumbing (laterals)OSHKOSH ON THE WATER Job Address 770 ELMWOOD AVE CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Contractor O'NEILL ENTERPR~SFS iNr. Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Owner NEWMAN CENTER OF OSHKOSH we No 134269 Create Date 12/04/2008 Category 430 -Industrial-Exterior (laterals) Plan Shower Water Softner Wait. St. Shamp Sink Coffee Maker Floor Drain Local Waste Ice Chest _ FINWst Sink Int Grease Trap Lndry Tray Clothes Wshr Exam Sink _ _ Catch Basin _ ____ __ _ Ext Grease Trap Disposal Bidet Sculry Sink _ Wash Ftn RPZ Valve Dishwasher Beer Tap Hand Sink _ _ _ Urinal __ _ _ _ Eye Wash Statn Sump Pump Lab Sink Plaster Sink _ _ Standp Rec Wtr Sewer Mtrs Classrm Sink Sterilizer Surgeons Sink _ --- _ Ice Maker - __ Deduct Meters Breakrm Sink Dip Well F Prep Sink ___ Gar Drain _ Wtr Usage Mtrs EjectoNGrind Drink Ftn Serv Sink Soda Disp Valuation $13,600.00 Plan Approval $0.00 Permit Fees $150.00 ^ Permit Voided Issued By 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 Date 12/04/2008 . Agent/Owner Address 522 W 6TH AVE OSHKOSH WI 54902 - 5916 Telephone Number 920-230-2007 To schedule 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. 12/04/2008 09:52 FA% 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 f~J001/001 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. •. Application(s) and fce(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 $100.00 plus the normal permit fee, which ever is greater. OR ** Advisory -For applicable pro3eds, an Eleetrlcai Installation Verification (EIS form, signed by the Electrical Conhactor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted with the permit application. Applications submitted without an EIV when sash is required, wi11 not be processed for Permit Issuance and will , rektlu~~~or„c ~p_e~on. Job Address ~ 7 0 ~l'Y1 W 'G ~l'~lrJ / q~} ~ Value (Including tabor and materials) (Ot/ v. Date Owner ~~,,,~~~~~~ ~ 11' _ Contractor ~ ^Single Famlly ^Duplea ^Multl-Fami C ly ^Rental ^Commerc al ^ dustrial Number of Fixtures: Bathtub Disposal Drink Ftn Catch Basin Whirlpool Dishwasher Wait St Wash Ftn Lavatory Sump Pump Ice Chest Urinal Toilet Ejector/Grind Exam Sink Gar Drain ~. Sink Water Softner Sculry Sink Soda Drs P ~ Sulk Low Waste Hand Sink Coffce Maker Water Heater ^ Gas ^ Elect 0 PwrVnt Clothes Wshr F Prep Sink Comm. Ice Maker Shower Bidet Serv Sink Site Drain Floor Drain Beer Tap Int Grease Trap _~ Roof Drain ' Ln T ~ ~ Classrm Sink Ext Grease Trsp Standp ~ Surgeons Sink RPZ. Valve Lab Sink Eye Wash Sm Breakrtn Sink Shamp Sink Plaster Smk Wtr Sewer Mtrs Dip Well Flr/Wst Sink Sterilizer Deduct Meters Hose Bibs Misc, Wtr Usage Mqs Fixtures Electric Contractor (for project s n o t requiring an EIV Form) ~' ,~ ~I / Use /Nature of Work ~~(,ct,,G . Size Material Type # Conn. Type Sanitary Sewer ~ / l S~C~ Storm Sewer ~O t ~ S k~ 3S VC Water Service ~ w Dcrcnl~ ~RoN o~/o~