HomeMy WebLinkAbout0155095 - Plumbing (mop basin) CITY OF OSHKOSH No 155095
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1100 W SMITH AVE Owner OSH AREA SCHL DIST NORTH HIGH Create Date 04/17/2013
Contractor M P KELLY Category 443-Commercial-Interior(Replacement Fixtun Plan
Inspector Jon Mueller
Bathtub 0 Clothes Wshr 0 Classrm Sink 0 Surgeons Sink 0 Roof Drain 0 Deduct Meters 0
Shower 0 Lndry Tray 0 Exam Sink 0 Sterilizer 0 Soda Disp 0 Wtr Sewer Mtrs _ 0
Whirlpool 0 Sump Pump 0 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 0 San Sump/Pump 0 FIr/Wst Sink 0 Bidet 0 Site Drain 0 Misc.
1
Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. 0 Fixtures
Kit Sink 0 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest 0
Disposal 0 Gar Drain 0 Plaster Sink 0 Dip Well 0 Comm Ice Maker 0
Dishwasher 0 Local Waste 0 Sculry Sink 0 Drink Ftn 0 Int Grease Trap 0
Floor Drain 0 Bar Sink 0 Sery Sink 0 Wash Ftn 0 Ext Grease Trap _ 0
Hose Bibb 0 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 0 Mop Basin
Use/Nature COMM(NORTH HIGH SCHOOL)/REPLACE MOP BASIN **check#12657
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1219400000
Valuation _Issued B y Cn,. 7�0 Plan Approval _ $0.00 Permit Fees $30.00 ❑ Permit Voided ',
() ( T� Date 04/17/2013
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.
rtc Contractor(for ejects not irequit ng enn IV'Form
Nature of Work p Q aJ Q cQc
Jt .. ti. LVI1 IV./tam v41I VI vvns, , ...v. ..v. •w" _
City of Oshkosh
Inspection Services Division
PO Box 1130
Oshkosh,WI 54903.1130 RECEIVED
Phone:(920)236-5050
Fax'(420)236-5084 •area Ii APR 17 2013
•,y . a
Plumbing.Permit Application
DEPARTMENT OF
I hereby apply for a permit to do and install the•folloViing plumbing on the promises hereinafter desceibe.d,the work to cast T '!)EVEi oPetEVT
Wisconsin State Plumb Code,in the performance of which all �t�r ERS'ices D{�'{SIOv
�S p panties hereto agree to and are hound by said statutes.
•
a Application(s)and fee(s)can be brought to City Hall,Room 205 or oas+ted to Inspection Services,PO Box 1128;Oshkosh WI
54903-1128. Commencing work without pernait(s)will result in fees being doubled or$100.00 plus the normal permit fee,which
ever is greater,
OR.
r , . ,.re., c.E, r, , „ ,,•.t ' t.6 .e . tt '.: ., ,._
vo:a Wont ALT 1� x s M �a d s I .
,�, ,procssaeul through your account
Advisory-For applicable projects, an Electrical Installed=Verification(lid form,signed by the Electrical
Contractor or ilomcowner(for installations allowed to be performed by the homeowner)must be submitted
with the permit application. Applications submitted without enEW when such is required,will not be
Processed for Fe"rmit Iusual nce"and ill • returned for completion.
fob Addr / 1 ti -J
�Ztr1C(Including.tebor.and materials) /v /��� Date ���,v
1•�i�te
f
D ser. 4/Contractor ' ii_ _
gle Family bu'e ex []Multi-Tamil s
y [Rental �ommerasittl ■Industrial
number of Fixtures:
Bathtub Sump Pump Plaster Sink Reef Mein
Shower Sin.SumplPurnp Scullery Sink Soda Drip T
Whirlpool r-_- Water Softaner Service Sink Coerce Mks
Lavatory Standpipe Rec Shamir Sink Site Drain —
Toilet Garage FD Surgeons Sink Waiir$Sin .-.�...._
Kit Sink Load l Waste Sterilizes �`
Toe Chest
Dispose! Bs:Sink RPZ Vnlvc
Gomm tee Mallet
Dishwuher Brcak.m Sink 'Bidet Int Grease'Dap
Floor Drain Cason Sink - Urinal Ent grease Trap
•Hose Bibb Bxam Sink Beer Tap Eyis Wash Stn
Water Heater F Prep Sink Dipper Well Deduct Meter
•
q(has q Bled O.Pwr nt Floor Sink .Drink Fntn
Clothes Wsht Wtr Sewn Mar
[nd tan Hand Sink Wash Pm ago Mar
Wtr Usage
rY Y Lab Sink Catch Basin Mir..PixtlrrW
sic Contractor(fox ojects not tequifinan IV Form _
Nature of Work ' ,,14 0 a(i Q 0 Of . .Z.---vL
, ,, _
.
Size Material Type if Conn,Type
Sanitary Sewer
Storm Sewer a
Water Service
06/09