HomeMy WebLinkAbout0100379-PlumbingOSHKOSH
ON THE WATER
.lob Address 2471 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 100379
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
Mar OG 03 03:34p Oshkosh Inspections 920-23G-5084~
City of Oshkosh
Inspection Services Division
P OBox 1130
Oshkosh, WI $4903~1
Phone: (920) 236-~050
Fax: (920) 236-5084
RECEIVED
MAR 2 ';
Plumbin_q P&r tl TtqS i ation Oi fV UNITY DEVELOPI ENT
I h:eby apply for a permit to do and install the following p'luntbing on the promises heroinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which aR parties hereto ague to and are bound by said statutes.
· Application(s) and fc~(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1 t28,
Oshkosh WI 54903-1128. C4mmtencing work without permit(s) will result in fees being doubled or $100.00 plus thc
normal permit foe., which evor is greater.
OR
If you arc ~t ¢o~tractor participatin~ in tile Permit Fee ACCOUnt. System and hav..e, a.dequate fund~, check here
if you want thi¢ processed through ~our account ~
Jobnddress~/.~/~/ /~,'/~]O],~/.x.~'.~j · ~,.~.2 ~d~t~, ~ at
Value (Including labor and n~ater/als) ] ~ D e
n]Single Family [~Duplex ~Vlulti-Family E]Renta! nlcommercial ['"]Industrial
Number of Fixtures:
~ir~l ~al ~ ~p W~D ,, ~st Sink ·
~va~ry / ~ D~h~ ~ ~nk Fin ~h B~in
8ho~ ~ Bidet ~ F Pr~ Sink I~ M~
~' T~y ~ Sink Int'~ ~p R~f
~b $~k S~ S~ ~ ~e T~
P~ S~k B~ S~k
St~li~
Electric Contractor OR ['-]Electric Installation Verification form attached
(If Replacement)
3/02