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