HomeMy WebLinkAbout0100377-PlumbingOSHKOSH
ON THE WATER
.lob Address 2451 N MAIN ST
Contractor K KELLY INC
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner SKB CAPITAL CORPORATION
Category 440- Industrial-Interior
Bathtub 12 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 11 Water Softner 0 Drink Ftn 0 Serv Sink 0
Lavatory 12 Lndry Tray 0 LocaIWaste 12 Wait. St. 0 Shamp Sink 0
Toilet 12 Lndry Stndp 0 CIothesWshr 12 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 12 Disposal 12 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 12 Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Water Heater 12 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 100377
Create Date 01/23/2003
Plan D2-03-0103-P
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature
of Work
NEW 12 UNIT INTERIOR ONLY
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$32,400.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$714.00
Date 03/25/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 2057 BELLEVUE ST GREEN BAY WI 54311 - 5619 Telephone Number
877-905-3559/920-46
~ I~ar OS 03 03:34p Oshkosh
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1 I30
Phone: (920) 236-5050
Fax: (920) 236,5084
I nspe~ o~ns 920-236-5084
CEIV D
Plumbing Permit Application
O/H, KO/H
ON YH~ W^¥ER
I hereby apply for a penn/t to do and install the following plunfl~ing on the premises hereinafter described, thc 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 $100.00 plus the
normal permit fee, which ever is greateL
OR
If y. ou. are q Contractor participating in the Permit Fee Account Syatem.a. nd hav. e. adequate £unds, check here
if you Want this processed through _Four account _~.
[~Single Family [~]Duplex ~Multi-Family [-]Rental n]Commerciai
[--]Industrial
Number of Pixtures:
Bathtub ,/~,~ Imdry Standp / Dent Oper.
Whirlpool Disposal .~ Dip Well
Toilet /~ Sump Pump Wait. St.
Re~. Sink /o~ Ejector/Grind Icc Chest
Bar Sink Water Softner Exam Sink
Wattn-Heater ~/~ Local Waste ~ Scuky Sirtk
~ Ga~ 0 £leet D Pwr{}nt Cloth~ Wshr 74 Hand Sink
Shower Bidet F Prep Sink
Floor Drain /.] . Beer Tap .... Serv Sink
LadD' Tray Classrm Sink Iht'Grease Trap
I~b Sink S~ Sink Ext Grease Trap
Pta~ter Sink Brcakrm S/nk
Sterilizer
Shamp Sink
Ftr/Wst Sink
Catch Basin
Wash Fm
Urinal
Gar Drain
Soda Di~
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Electric Contractor
Use I Nature of Work
OR
[~]Electrie Installation Verification form attached
(If Replacement)
·
3/0~