HomeMy WebLinkAbout0100381-PlumbingOSHKOSH
ON THE WATER
.lob Address 2491 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 100381
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
~ar OS 03 O~:~p
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-I i30
Phone: (920) 236-5050
Fax: (920) 236;5084
Oshkosh Inspections
OYk-KO/H
· ON ~.HE ~I~T,E~'
I ht~eby apply for a pmmit to do and install the following plumbing on the premiscs her~qnaftex descried, the work to conform to the
Wisconsin State Plumbing Code, in the performance of Which all panics !~r~to ague to and ar~ bound bY said statutes.
· Application(s) and fee(s) can be brought to City Hall, P. oom205 ormailedto Inspection Sol. ices, PO Box 1128,
Oshkosh WI 54903-1128. Cotim-~rtcing work without permit(s) will result in fees being doubled or $100.00 plus thc
normal permit fee, which ever is greater.
OR
If you. are a contractor t>artici~atin~ in the Permit Fee Wccou~t ~_¥$~m ~t~d have a~equate_fund~, check here
if ~,ou .want this processed through your__account [--]
Number of IrLxtures:
Baltlmb
Whirlpool
Lavatory
ToP. ct
P. rs. Sink
Bar Sink
Shower
~b ~k
P~ S
lmclry Smndp Dent Open Sham0 Sink
Disposal ~ Dip Well Flr/Wst Sink
Dishwasher /t~Z~, Drink Fln Catch Basin
Sump Pump Wait. St Wash Fm
~eCtor/Orind [c~ Ch~t U'rirml
Water Softner Exam Sink Gar Drain
Local Waste ,/~ S. cui~ ~iak Soda Disp
Clothes Wshr . / o~ l-land Sink Coffce Maker
Bidet F Prep Sink Ice Maker
Beer Tap Serv Sink $it~ Drain
Ciassrm Sink Iht'Grease Trap Root'Drain
Surl~ns Sink F. xt Grca~ Trap St~lp Rec
Brcakrm Sink
Electric Contractor OR [-']Electric Installation Verification form attached
- . ,, (If Replacement) '
Si~ M~tm'ia., Typo ~... # Conn. TyI:~
Sanitary Sewc, r ~ ~'~ "0 p~/.~ ~' . .
3/02