HomeMy WebLinkAbout0144928-Plumbing (floor drain) e ,
CITY OF OSHKOSH No 144928
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1011 KANSAS ST Owner MICHAEL J SCHETTLE Create Date 02/17/2011
Contractor KOCH PLUMBING Category 420 - Residential -Other Plan
Bathtub Clothes Wshr Classrm Sink Surgeons Sink Roof Drain Deduct Meters
Shower Lndry Tray Exam Sink Sterilizer Soda Disp Wtr Sewer Mtrs
Whirlpool Sump Pump F Prep Sink RPZ Valve Coffee Maker Wtr Usage Mtrs
Lavatory San Sump /Pump 1 FIr/Wst Sink Bidet Site Drain Misc.
Toilet Water Softner Hand Sink Urinal Wait. St. Fixtures
Kit Sink Standp Rec Lab Sink Beer Tap Ice Chest
Disposal Gar Drain Plaster Sink Dip Well Comm Ice Maker
Dishwasher Local Waste Sculry Sink Drink Ftn Int Grease Trap
Floor Drain 1 Bar Sink Sery Sink Wash Ftn Ext Grease Trap
Hose Bibb Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn
Water Heater
Use /Nature Repair code violations per written orders on the sanitary sump and FD that have been installed previously by the
of Work owner without permit or inspection. All discharge piping to the existing foundation sump shall be removed to prevent
future connection to the sanitary.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1305430000
Valuation • $600.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By C Date 02/17/2011
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
Agent/Owner
Address 2005 DOTY ST OSHKOSH WI 54902 - 7040 Telephone Number 920 - 231 -6661 or 235
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.
, b 16 11 05:17p Clarence Koch 9202350282 p.1
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Plumbing Permit Application
I hereby apply far Brandt 10 do nod iii the following plumbing on the Pew Ieatehadier eescribad, the watt to =nib= to the
Wisconsin Sate Pig Code, in ee paihnnance ofahich all parties hereto spa: and aie bound by said sue.
e s) and fee(s) c.b toCRO !, Roost 20S arnsailetto laspecdon S ,POBox1128, Oahe& WI
541903-11211 Commencing without ) will zeseltin San being doubled orS100.00 pluthe wand pcnnit ,
ever ft greater.
OR ..
itysjunwesinzatimitanclizammthi.thaparive Accarcrtt System and have adea>rate funds. check here
event want this processed through year aceestat
'w' Advisory - For applicable pmje ts, astlilectolad lustallatton Verilladon OW) fingu, signed by the pct tod
Contructor orliomearnter for installutiong allowed to be pertbnued by die be aubudtted
with the pem* application. Apportions ions wbudtted without au ELT when Bud is required, will not be
pmoasusd for Peomit?aa uanee and will be rammed for completion.
Job A.ddreas /dig /47,76 5 .'iratlaae Cleclueekbruplautaiffs) 6?> Date Z - /4 -- 1/
,� / 3
Owner 41 �/ .527/ 4.4.. L�/j_ �f'�I - /L u, 4 Di � DP I DC0111111eniid Oludustrial
Number of :
Bselib Sump Pump PlaetaSiat RootDsads
Sims. ' Sea. Eimpi _i_. Seas shat
■■ sods
Wf aol Wier Seam" Sm ksSidc Mkr
Skimp Sisk
Toilet _ m Suwon Sisk Wks Si
Mink Load Way Sterilizer Ica Melt
D So RPZVaive Cossabolifelter
meeham Bidet Grease Zap •
Hoar T iln • 1 , Cisme sank Waal Est OrmeTay .
BoseBaab s,ana deer Tap BIM Wadi Sin
Visor Maier FP/spiic Dipper Waii . Dedoetlaser
O Gas 0BieaeD1411 s1 Boor Sisk TkiatFan Wtrikoseerher
Mathes Wsbr Thud Sisk Wads Etta Iftrifaes, bile
Ludt? TAW IabMBE C Bask Miss Slum
•Ie Contractor (r projects not requiting
of Work a u EIV Form) �^ y { 7 7
fat m Work // V" � / "i4 /F �,. J t ore ( r d F w A../. Y ! ; 42. 4 :2 . • , :4 -4 fay - .�. r .
•
&whew Sewer • ' Conn. Type
lawn Senior
Wider Service
El This installation is complete and may be inspected at anytime. .
Received Time Feb. 16. 2011 5:15PM No. 4704