HomeMy WebLinkAbout0104950-Plumbing (toilet & lav)OSHKOSH
ON THE WATER
.lob Address 1313 N MAIN ST
Contractor M P KELLY
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner GORDON WWISCHOW
Category 410 - Residential-Interior
No 104950
Create Date 10/24/2003
Plan
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Soffner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 1 Lndry Tray 0 LocalWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 1 Lndry Stndp 0 ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature SFR/Replaced toilet & lay.
of Work
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Valuation $2,015.00 Plan Approval $0.00 Permit Fees $20.00 ~J Permit Voided
Issued By
Date
10/24/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 665 N MAIN ST OSHKOSH WI 54901 - 4431 Telephone Number
231-1750
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Inspection Services Division
P O Box I 130
,/~'~hkosh, WI 54903-1130
. ,,one: (920) 236-5050
Fax: (920) 236-5084
RECEIVED
OCT 2 3 2005
..... D.EPART. M ENT OF
Plumbing P e r ltlVl ($)l l [Otbl l E N T
O/HKO/H
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 ~aid 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. Comme~. cing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is ~eater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
i[¥ou want this processed through your account ["]
Job Address/c~/O~ .~ff////,x,7 Value (Including labor and mt~alsb~/~'~
Owner ~ ~1'~ Contractor ~¢~/~, /~ ,
~ngle Family BDuplex BMulti-Family BRental-- C/LBCommercml
Date
[--]Industrial
f~%umber of Fixtures:
Bathtub Lndry Standp Dent. Oper.
Whirlpool Disposal Dip Well
LavatoD, / Dishwasher Drink Fin
Toilet / Sump Pump Wait. St.
Res. Sink Ejector/Grind Icc Chest
Bar Sink Water So.er Exam Sink
Water Beater Local Waste $culry Sink
~ Gas E Elect ~ PwrVnt
Clothes Wshr Band Sink
Shower Bidet .... F Prep Sink
Floor Drain
Beer Tap Serv Sink
Ladry Tray Classrm Sink Int Grease Trap
Lab Sink
Surgeons Sink Ext Grease Trap
Plaster Sink
Breakrrn Sink
Sterilizer
Shamp Sink
Flr/Wst Sink
Catch Basin
Wash Fin
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker .
Site D~ain
R~of Drain
Standp Rec
Electric Contractor O~R
(If Replacement)
'Use/Nature of Work/~~~
,Storm Sewer
Water Service
]-']Electric Instalhition Verificati6n form attached
3/02