HomeMy WebLinkAbout0101022-Plumbing (toilet)OSHKOSH
ON THE WATER
.lob Address 808 CENTRAL ST
Contractor M P KELLY
Bathtub 0 Shower 0
Whirlpool 0 Floor Drain 0
Lavatory 0 Lndry Tray 0
Toilet 1 Lndry Stndp 0
Res. Sink 0 Disposal 0
Bar Sink 0 Dishwasher 0
Water Heater 0 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner MICHAEL/MARY KELLY
Category 410 - Residential-Interior
Ejector/Grind 0 DipWell 0 F Prep Sink 0
Water Softner 0 Drink Ftn 0 Serv Sink 0
LocaIWaste 0 Wait. St. 0 Shamp Sink 0
CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Bidet 0 Exam Sink 0 Catch Basin 0
Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Dent. Oper. 0 Hand Sink 0 Urinal 0
Lab Sink 0 Plaster Sink 0 Standp Rec 0
Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 101022
Create Date 04/25/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature DUPLEX/RENTAL/#808 A/ Replace toilet.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$334.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date
04/25/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 665 N MAIN ST OSHKOSH WI 54901 - 4431 Telephone Number
231-1750
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
PECEJVED
APR 2 5 200
EPART IENT OF
COi' B UNtTY DEVELOP AENT
Plumbing Permit Application
ON THF WATER
I hereby apply for a permit to do and install the followi.ng plumbing on the premises hereinafter described, the work to conform to the
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 be 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.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account [-]
Job Address /~/~f~- //~~u e (Including iab°r and materials~--J'~-~g~Q ' Date
Owner ~; /4~ ~~ Contractor
. . /- /~--~ /
["']Single Family [-']D~plex ~]Multi-Family ~;2Jl~ental LJCommercial [-']Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper. Shamp Sink
Whirlpool Disposal Dip Well Flr/Wst Sink
Lavatory Dishwasher Drink Fm Catch Basin
Toilet / Sump Pump Wait. St. Wash Ftn
Res. Sink Ejector/Grind Ice Chest Urinal
Bar Sink Water Sofmer Exam Sink G~r Drain
Water Heater Local Waste Sculry Sink Soda Disp
D Gas D Elect U PwrVnt Clothes Wshr Hand Sink Coffee Maker
Shower Bidet F Prep Sink lee Maker
Floor Drain Beer Tap Serv Sink Site Drain
Lndry Tray Classrm Sink int Grease Trap Roof Drain
Lab Sink Surgeons Sink ' ' Ext Grease Trap Standp Rec
Plaster Sink Breakrm Sink
Sterilizer
Electric Contractor
'Use/Nature of Work/Y~z~~.~/ff~.
Siz/ / Material
Sanitary Sewer
O'R [-']Electric Installfition Verificati6n form attached
(If RePlacement)
Storm Sewer
Water Service
'Type ii Conn. Type
3/02