HomeMy WebLinkAbout0156776-Plumbing (toilet) � CITY OF OSHKOSH No 15s��s
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 375 N EAGLE ST Owner OSH AREA SCHL DIST WEST HIGH Create Date 07/18/2013
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
Whiripool 0 Sump Pump _ 0 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 0 San Sump/Pump 0 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. 0
Toilet 1 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. Q 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 Serv 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
Use/Nature `SCHOOU replace toilet
of Work ' �
*"ck#12807"
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L_ ,
Size Material Type # Conn.Type :
Sanitary Sewer :
Storm Sewer
Water Service
Parcel Id#
1608720100
Valuation $500.00 Plan Approvai $0.00 Permit Fees $30.00 ❑ Permit Voided'
Issued By ��. Date 07/18/2013
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
AgenUOwner
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.
City of Oshkosh 1�A � �� ���„L�, ���� • .
Inspection Services Division �V� �
POBox1130 665 N. MAIN STREET
Oshkosh,WI54903-1130 pSHKOSH, ��SC. �49�� �
Phone:(920)236-5050
Fax:(920)236-5084 fHK �H
ON THP WATFR :
Plumbing Permit Application
I hereby apply for a permit to do and install the following 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 pernut fee,wluch
ever is greater.
OR
If vou are a contractor participating in the Permit Fee Account Svstem and have adeguate funds. check here
if vou want this processed through vour account n
**Advisory-For applicable projects, an Electrical Installation Verification(EI�form,signed by the Electrical ;
Contractor ar Homeowner(for installations allowed to be performed by the homeowner)mnst be submitted
with the permit application. Applications submitted without an EIV when such is required,will not be
processed for Permit Issuance and will be returned fo,�ompletion.
Job Address �/'"' � ��(S�U�Including labor and materials)��"" "V Date �_�—/�
Owner Contractor
❑Single Family ❑Duplex ❑Multi-Family ❑Rental �ommercial D
Number of Fixtures: JUL 18 Z013
Bathtub Sump Pump Plaster Sink Roof Drain
Shower San.Sump/Pump Scutlery Sink Soda D'
��PARTIIE\T�—
Whirlpool Water Softener Service Sink ��'fAA�fITY DEVELQC�]E.YT
Lavatory Standpipe Rec Shamp Sink ����e��0�SERVICES DI�'IS10.V
Toilet � Garage FD Surgeons Sink Waitrs Sm
Kit Sink Local Waste Sterilizer Ice Chest
Disposal Bar Sink RPZ Valve Comm Ice Maker
Dishwasher Breakrm Sink Bidet Int Grease Trap
Floor Drain Classrm Sink Urinal Ext Grease Trap
Hose Bibb Exam Sink Beer Tap Eye Wash Sro
Water Heater F Prep Sink Dipper Well Deduct Meter
❑Gas C]Elect Cl PwrVnt Floor Sink Drink Fntn Wtr Sewer Mtr
Clothes Wshr Hand Sink Wash Fnm Wtr Usage Mtr
��*Y T�Y Lab Sink Catch Basin Misc Fixhtres
Electric Contractor(for ojects not requi ' g an EIV Form}
Use/Nature of Work �
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer /
Water Service ��
06/09