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HomeMy WebLinkAbout0147014-Plumbing (cap sewer & water) (#,D CITY OF OSHKOSH No 147014 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1733 GEORGIA ST Owner KENNETH W NICHOLSON Create Date 07/28/2011 Contractor M P KELLY Category 402 - Residential - Exterior (other) Plan Inspector Rich Wood 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 Flr/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 Bar Sink Sery Sink Wash Ftn Ext Grease Trap Hose Bibb Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn Water Heater Use /Nature Cap sewer and water service for raze permit. check #11554 of Work Size Material Type # Conn. Type Sanitary Sewer 4" Lateral 1 Aband Storm Sewer Water Service 3/4" Lateral 1 Aband Parcel Id # 1410090100 Valuation $200.00 Plan Approval $0.00 Permit Fees $50.00 ❑ Permit Voided Issued By Date 07/28/2011 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 665 N MAIN ST OSHKOSH WI 54901 - 4431 Telephone Number 231 -1750 To schedul 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. of Oshkosh llli . P. KELLY, INC.. A + Box 1130 section Services Division 665 N. MAIN STREET • . . tkosh, WI 54903 -130 OS t WISC. 54901 /^� { (� me: (920) 236 -505 0 ' Q —�/N / 1..1 J HKL.CJ H . (920) 236 -SO84 ON THE WATER • Plumbing Permit Application permit to do and install the fbl16 w plumbing OD. the premises hereinafter described, the work to conform to the ereby apply for a 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 bd 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 greater. ©R ee .. , , ste a d have r de - uate unds chee here ou ar a contract ' tc ,s,t , , - ' "r i ou want t s ,tr .ssetid: o_ ., ,u , .,t I . . Advisory - For applicable projects, an Electrical Installation 'Verification (ETV) form, . signed by the Electrical nitta rarReme6 (for b kltio4ed^tti`b0', ed by t1ie"homeowner) must be submitted licatIOns submitted withoitanEIV whensuch is required, will not be ith the permit application. App ocessed f o r P e r m i t I s _ , , and will"bp returned for Com pletion. ., ,y� / / � lb Address / / i Alile (Including labor and materials) ° d e , w Date E l P � ner CA/ /C ' ' S7 . Contractor ` \'1'` P �"L-( JjJ alulti- Family. . .::Rental . Comu►erc [Industrial gle Far y ['Duplex F t tt umber of Fixtures: RoofDtair, Plaster Sink ..__:.: bathtub Sump Pump Scullery Sink SodaDisp .hover San. Sump/Pump b Coffee Mkr Water Softener Whirlpool Service Sin1d � Site Drain Standpipe Re* Shamp•Sink ,avatory • . • "'-- 'Rains Stn oiler Garage FD Surgeons Sink . T.. • Sterilizer , Ice Chest :it Sink Local Waste -' Brealam Sink —"— Sink RPZ Valve' Comm Ice Maker )isposal B ar Bidet -T Int Grease Trap dishwasher . Urinal Bxt amuse Trap +loon grain Chusrm Sink !— ' PwrVnt Fluor Sin Elect B Ta �_ Byo Wash Stn 'later Bibb 18 Pre Sin v . F �P Sink Dipper Wog � . :i �,- � +, ,' o G as Renttr DrinkFntn 1 ilr' liv. o Gas 0 l3 k • " ;lothes Wshr Hand Sink Wash Fntn 4U L art — ,ndry Tray Lab Sink CatchBasht DEPARTMENT OF . COMMUNITY DEVELOPMENT Di IV Form) m pyCTToN SFRVICFS DTVTSTC)N ic Contractor (for projects not requiring Nature of Work / - Size Material Type # ' Conn. The • Sanitary Sewer (�,� Storm Sewer . . . . `Y4�'�� . Water Service a/( jjk 0 I 1W \ f " • / /. 0},e * aii 4 ,,,,,, .....__ . 0 6/ 0 9