HomeMy WebLinkAbout0102103 POSHKOSH
ON THE WATER
,Job Address 3475 N MAIN ST
Contractor M P KELLY
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 Lndry Stndp
Res. Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater 0 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner CROWN CORK& SEAL CO USA INC
Category 440- Industrial-Interior
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0
0 WaterSoftner 0 Drink Ftn 0 ServSink 0
0 Local Waste 0 Wait. St. 0 ShampSink 0
0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
0 Bidet 0 Exam Sink 0 Catch Basin 0
0 Beer Tap 0 SculrySink 0 Wash Ftn 0
1 Dent. Oper. 0 Hand Sink 0 Urinal 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 102103
Create Date 06/10/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature IND/Replace sump pump.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$550.00 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
06/11/2003
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
i EECEIVED
JUN 0 9 2005
O/HKO/H
Plumbing P e r rr~ [ PA~T~flI~Ta~ .n,,
COMMUNITY I)EVELOPE T
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 1 I28,
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 ~eater.
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 AddresC'~/70'' ~/~7,~,' 4/" va,ne (lncludinglaborandmatehals}_~_~,
O-,,ner
['-]Single Family [--]Duplex [~Multi-Family [--IRental ~o;mere,,l
Date ~o~ ~c
[-llndustrial
Number of Fixtures:
' Bathtub~' ' ):' Lndry SUndp Dent. Oper.
Whirlpool Disposal Dip Well
Lavatory Dishwasher Drink Ftn
Toilet Sump Pump J Wait. St.
Res. Sink Ejector/Grind Ice Chest
Bar Sink Water Sofmer Exam Sink
Water Heater -- Local Waste Sculry Sink
E Gas [] Elect [] pwrVnt Clothes Wshr Hand Sink
Shower Bidet ..... F Prep Sink
Fkmr Drain Beer Tap Serv Sink
rcndry Tray Classrm Sink lnt Grease Trap
Lab Sink Surgeons Sink Ext Grease Trap
Plaster Sink Breakrm Sink
Sterilizer
Shamp Sink
FIr/Wst Sink
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Rec
Electric Contractor
'Use/Nature of Work
O'R [~]Electrie Install:ition Verificati6n form attached
Sanitary Sewer
Storm Sewer
Size
(If Replacement)
Water Service
Material Type # Conn. Type
3/02