HomeMy WebLinkAbout0100380-PlumbingOSHKOSH
ON THE WATER
.lob Address 2481 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 100380
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
Nar OG 03 03:34p Oshkosh Inspections 920-236-5084~
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1 I30
Phone: (920) 236-5050
Fax: (920) 236-5084
NAR 2 200
' Plum
O/HKO./H
I h~reby apply for a permit to do and install the follOwlng plumbing on the promises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in th~ performance of which all parties hereto agree to and am bound by said statutes.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Se~dces, PO Box 1128,
Oshkosh WI 54903-1 !28. Coum-,encing work without permit(s) will result in fees l~ing doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor t~articivating in the Permit Fe~ A¢¢qunt Svztem and hay. e.. adequate fund~, check here
if you Wont thi~: pr(~cq$~ed through your account [] ,
E]Single Family i']Duplex ~Multi-Family [~Rental ['"]Commercial
[-']Industrial
Number of Fixtures:
Barb / ~ Lndry $landp Dent. Op,'r.. Shamp Sink
Whirlpool Di~o~al ~ Dip Well FhqWst Sink -
Lavatory ~'~ Dishwasher / ~""'~/ Ddnk Fin Catch Buin
To~t i oQ/ Sumo ~'ump Wait. St. W=h tm
R~. Sink Jc~ Ejector/Grind Icc Ch~t Lk/nal
Bar Sink Wafer Soflr~r Exam Sink Gar Drain
Hatm' ~ Local Wast~ ~ S~tlry Sink Soda Di.
O Elec! El PwrVn! Cloth~s Wshr ~ Hand Sink Coff~ Maker
Shower ~ Bide~ F Prep Sink Ic~ Maker
Floor Dnfin ]/ B~r Tap Serv Sink , Sit~ Drain
Lndry Tray Ciassrm Sink lnf Camac Trap Roof Dr'aim
Lab Sink Smi~eons Sink E.,v,t Cav, as~ Trap Siandp Rec
Plasi~ Sink Brcakrm Sink
Electric Contractor OR ['"]Electric Installation Verification form attached
I ff R~placem~nt)
3/02