HomeMy WebLinkAbout0101390-Plumbing (eye wash)OSHKOSH
ON THE WATER
,Job Address 150 LIBBEYAVE
Contractor M P KELLY
Bathtub 0 Shower 0
Whirlpool 0 Floor Drain 0
Lavatory 0 Lndry Tray 0
Toilet 0 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 TRIANGLE MFG CO INC
Category 440- Industrial-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 1
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 101390
Create Date 05/09/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature COMM/Install Bradley eye wash fountain.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$3,220.00 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
05/09/2003
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
RECE VF
H
Plumbing Permit
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. Co.rnmencing 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 ar, e a..contractor participating in the Permit Fee Account System and have adequate funds, check here
if.you want this. processed through your account [-'1
~Single Family ~uple~~ulti-Family ~Rental ~Commerelal ~Indus~ial
Number of Fixtures:
Bathtub ..... Lndry Standp Dent. Opa'.
Whirlpool Disposal Dip Well
Lavatory Dishwasher Drink Fm
Toilet Sump Pump Wait. St.
Res. Sink , EjectuffGrind Ice Chest
B~ Sink Water Softner Exam Sink
Water Healer Local Waste acuity Sink
[] Gas ~ Elect U PwtVnt Clothes Wshr Hand Sink
Shower , Bidet F Prep Sink
Floor Drain Beer Tap Serv Sink
Lndry Tray Classrm Sink lnt Grease Trap
Lab Sink Surgeons Sink Ext Grease Trap
Plaster Sink ,,, Bmaktm Sink
Sterilizer ....
Slmmp sink
Flr/Wst Sink
· xlm Disp
Coffbe Maker
lee Malta'
Roof Drain
Stsnap Ree
-7-
Sanitm7 Sewer
Storm Sewer
Water Service
Electric Contractor O'R ['-]Electric Install~tlon Verifleatidn lornt attached
(If Replacement) · ' ~.
Use / Nature.. of Wor
Size Material Type # Conn. Type '
3/02