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HomeMy WebLinkAbout0127082-Plumbing (relocate water meter) G OSHKOSH ON THE WATER Job Address 1100 W SMITH AVE Contractor M P KELLY CITY OF OSHKOSH No 127082 PLUMBING PERMIT - APPLICATION AND RECORD Owner OSH AREA SCHL DIST NORTH HIGH Create Date 10/02/2007 Plan Category 440 - Industrial-Interior Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature Relocate water meter in along with new 6" water service by 4-Way Construction. "A" value is 3 for water distribution. **check #8826 of Work Shower Water Softner Wait. St. Shamp Sink Floor Drain Local Waste Ice Chest Flr/Wst Sink Lndry Tray Clothes Wshr Exam Sink Catch Basin Disposal Bidet Sculry Sink Wash Ftn Dishwasher Beer Tap Hand Sink Urinal Sump Pump Lab Sink Plaster Sink Standp Rec Classrm Sink Sterilizer Surgeons Sink Ice Maker Breakrm Sink Dip Well F Prep Sink Gar Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp Size Material # Conn. Type Type Sanitary Sewer Storm Sewer Water Service Plan Approval $0.00 Permit Fees $25.00 0 Permit Voided I Valuation $700.00 Issued By ~ ~ Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Parcelld # 1219400000 Date 10/03/2007 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 Address 665 N MAIN ST Agent/Owner OSHKOSH WI 54901 - 4431 Telephone Number 231-1750 Date 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. City of Oshkosh Inspection Servic;es Division POBox 1130 Oshkosh, WI 54903-1130 PhOne: (920) 236-505'0 Fax: (920) 236-5084 @.... ~ OJHKOfH . " ON THE WATER P lumbingPermitApplication I hereby apply for a permit to do and install the following plumbing on thepre111ises hereinafter descnbed, the work toconfQ:tm'to the Wisconsin State Plumbing Code, in the perfonnanceofwhich aU parties hereto agree to and are bound by said statutes. · Application(s) and fee(s) can be broughtto City IJaIl, Ro()m 205 QrmailedtolhspectionServices, PO Box 1128, Oshkosh WI 54903-1128. Commencing work withotitpennit(s)will resultin fees being doubled or $1 00.00 plu~the normal permit fee, which ever is greater; '. . , OR '. r Ouare a contractor artici atin intliePermitFee AcCounl$ stem andhaveade if yOU want this TJrocessed throughvour account n /~ . :~ check here " .' 00 . JobAddre$s //00 W JmJ In Cldie. Value (InctudinghibOrandniatenaIS)$ 70Q-. Date lo,-l~f' Owner &u;(//:~jY~}Jg,cont~acror ~L~"Ll!# DSingle Family Dnuplex. OM,~lti~Fa..1ily DRentaJ ,[]C()~::~iaIDlndUS~.1 Number of Fixtures: ~ :Di~posal Dishwasher Sump Pump Ejector/Grind Water Softner Locat'Waste Clothes Wshr Bidet \ Beer!ap ClassrmSink Surgeons Sink BreakrmSillk Dip Well Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater o GasOElect 0 PwrVnt Shower Floor Drain Lndry Tray. Lab Sink Plaster Sink --'- DrinkFtn 'Wait.St. Ice Chest ,Exam Sink $li(~!ry Sink H~n~~Si~1s . .F PrepShik SetvSink InH~rease Trap ;B"tiQ~ase 'Trap. KP;ZoValve ~hamp'Sink )FlrlWsfSink --'- Catch Basin Wash FIn Urinal Gar Drain Soda Disp Coffee Maker Ice Maker Site Drain ROOf Drain Standp Rec EyeWll"sh$tn Wtr SewerMtrs D:eductMeters WtrVsage Mtrs ':! "'""-- Sterilizer Misc. Fixtures Electric Contractor 'OR '.'CJEJectrlcJnst~liationVerifi.cati()n'Jol'm attached use/Natureofwork(j.RA~ ~~1~_') ,. ., Size Material ,Type # Sanitary Sewer ;' ./Stbrm.Sewer.' ~l. ~A6.QO WaterService 4/05