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HomeMy WebLinkAbout0151949 - Plumbing (install toilet) CITY OF OSHKOSH No 151949 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 450 N CAMPBELL RD#D1 Owner PATRICIAA WILSON SURVIVORS TRUST Create Date 08/24/2012 Contractor M P KELLY Category 442-Commercial-Interior(New/Relocated Fixti Plan Inspector Jerry Fabisch 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 1 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 CONDO UNIT/INSTALL OWNER TOILET **check#12249 of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1608710308 Valuation $200.00 Pla Approval $0.00 Permit Fees $25.00 ❑ Permit Voided Issued By � J I 1 ► Date 08/24/2012 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 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. UC .. IJ. LV I 1 IV./turn! v I I I vt vvtn*v.vn anv∎ a.V■ awn _ _ City of Oshkosh Inspection Services Division PO Box 1130 Oshkosh,WI 54903-1130 Phone:(920)236-5050 Pax:(920)236-5084�� n Plumbing.Permit Application I hereby apply for a permit to do and instaIl the follow ng plumbing on the promises hereinafter described,d,the work to conform to the Wisconsin State Plumbing Code,in the performances of which all parties hereto agree to and are bound by said statutes. • Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,f0 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. . . OR. Cfvau are c.ontracfor iearrtoiaat#,r t the permi see ,fcee,u,rt st�� d h �r d£yo:rr lhr.c.processed t�irouph your account I`l --- �ate finds. cheek berg **Advisory-For applicable projects, an Electrical Installation Verification(E1v)form,signed by the Electrical Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted with the permit application. Applications submitted without an.EWV'when such is required,will not be processed for Permit Taste- , , . will b t/ed for omlrletion, ' /_ ' ant AGO,o0 F422 A Job Addr © �.' US neluding labor. n soars) Date . „Owiner I T f r�Se .4 Contractor Sl gle Family 1Duplex I ,, 1t1-Family [Rental Commercial •Industrial Number of Fixtures: Bathtub Sump Pump Platter Sink RoorDnin Shower Safi.SumaIPump Scullery Sink Sods Ditp _T Whirlpool �„ Water Softener Service Sink Coffbe Mk Lavatory Standpipe Etc Shame Sink _ •T Site Drain Toilet Garage FD Surgeons Sink -- — Walks Stn Kit Sink Local Waste Sterilizer • Tee Chest Dispose Bar Sink RPZ Vrlve — Comm tee Molter Dishwasher Breakmt Sink 'Bidet Int MOM limp Floor Drain Classrm Sink Urinal T_ Ext Grease Trap Hose Bibb Exam Sink Beer Tap Eye WW1 Sin Water Neater P Prep Sink Dipper Well Deduct Meter CI O 0 Rica LI lowr'Vnt Floor Sink Drink Fns Clothes Wshr )Hind Sink Wtr Sewer Mfr Clothes Tray Wash Fntn Wcr Usage MIT rY y Lab Sink Catch Basin --_ Mite Fixtures etric Contractor(for prof is not ter/Wing n ETV'Form) Nature of Work ---41 1 Size Material Type # Conn.Type Sanitary Sewer ` Storm::::; , . 1°° dq61;Water e I. • .06/09