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~