HomeMy WebLinkAbout0152493 - Plumbing (disposal and dishwasher) CITY OF OSHKOSH No 152493
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1275 W SMITH AVE Owner MR/MRS THOMAS R PECH JR _ Create Date 09/20/2012
Contractor M P KELLY _ Category 410-Residential-Interior 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 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 1 Gar Drain Plaster Sink Dip Well _ Comm Ice Maker
Dishwasher __1 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 SFR/INSTALL DISPOSAL AND DISHWASHER **check#12296 —
of Work
1
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1218080000
Valuation $1,500.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided)
Issued By 0-Mk)
Date 09/20/2012
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.
V66. A. LVII IV,Junin ' £ I I vi vvfl.wyI .,.vo ..v1 .v..
City of Oshkosh - --
Inspection Services Division
P0 Don 1130
Oshkosh,WI 54903.1130
Phone:(920)236-5050
Pax:(920)236-5084
OTt® erg
Plumbing Permit Application ,.A "
I hereby apply fora permit to do and install thefollowing plumbing on the
Wisconsin State Plumbing Code,in the performance of which all premises hereinafter eto described,they work said confos. is the
tomes hereto agree to and are bound by said staEutes.
• Application(s)and tbe(s)can be brought to City Halt,Room 205 or mailed to Inspection Services,PO Box 1128;Oshkosh WI
54903-1128. Commencing work without permits)will result in fees being doubled or$100.00 plus the normal permit fee,which
ever is greater.
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e Per it Pe
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""Advisory-For applicable projects, an EIectricRal Installation'V
Contractor or Romeowner(for installations allowed to be elf Verification( me form,signed by the fitted Iry
with the permit application. Applications submitted without armed by the homeowner)re u it maw will submitted
processed for Perrait Tssuance'and will be returned for completion. when such is required,will not'be
�3-
—i �� C(Job Addr G�L� '41- Ire(rnaiuding.labor.and eucuiais $iC q/1 d• . _ -1
Contractor
,�,�" i gle Family �'n uplex ��.-- _ „ 1
p ❑fMulti-Family :Rental
❑lCommeroial 'Industrial
Number of Fixtures:
Bathtub — Sump Pump
Shower �°^— Plaster Sink
—..__ Stitt.Sump1Pnmp
Roof Dein
Whirlpool Scullery Sink 3adr Cusp T
•-•�_ 'Water Softener
Lavatory Service Sink —
Standpipe Rec Coffee Mier
Toilet Stamp Sink —�.
Garage ED
- Site Drain
Kit Sink Surgecas Sink - -_
Local Waste Sterilise �`-" Walks Sin
Disposal __,I___ Bar Sink" —� Yu Chest
Dishwasher �� �Valve
Break=Sink Bidet Comm tee Milder
Floor Drain Classnn Sink ----- int Grease Urinal
Hose Bibb Bum Sink Ext Grease in Trap
Water Heater Beer Tap
F Prep Sink Wash Stn
0 Gas d Bled CI N M Floor Sink Dipper Well Deduct Meter
Clothes Wshr .Drink Fnm
Clothes �— Hand Sirflc
Wash Rim
t Sewer Mtr
►Y nnY Lab Sink Wtr Usage Mir
Catch Basin
Mire Natures
-
P — .ic contractor(for projects not Xequi�in n EN Form)
•
Yature of Work
Size Material TYPe
Sanitary Sewer Conn.Type
Storm Sewer
Water Service -"A—
06/09