HomeMy WebLinkAbout0104951-Plumbing (kitchen sink)OSHKOSH
ON THE WATER
.lob Address 112 OTTER AVE
Contractor M P KELLY
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner OSHKOSH BGOSH INC
Category 440- Industrial-Interior
No 104951
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 Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 0 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Res. Sink 1 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 COMM/Replace kitchen sink.
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 $2,153.00 Plan Approval $0.00 Permit Fees $20.00 ~ 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 0 BOx 1130
('-~tknsh, WI 54903-I 130
· aone: (920) 236-5050
Fax: (920) 236-5084
EECEWED
OCT 2 5 2005
DEPART IENT OF
Plumbing
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 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. Comme.ncing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is ~eater.
!fvou area cont~raR~,i~ge~ in the Permit Fee Account System and have adequate--fUnds, ch;ck here
if you wa.t this p~ocessed thro~h~our account n
Job Address ~' Value (Including labor and ~t~als)~/~' O0 Date/~ ~
co t a to
~Single Family ~Duplex ~Muiti-Family ~Rental ~ereial ~Industriai
,umber of F~xtures:
Bathtub'; ~d~ S~ndp ~t. ~. $h~ Sink
Whirlpool Disposal Dip Well Iqr/Wst Sink
Lavatory Dishwasher Drink Fm Catch Basin
Toilet Sump Pump Wait. St. Wash Fm
Res. Sink / Ejector/Grind Ice Chest Urinal
Bar Sink Water Sofmer Exam Sink Cmr Drain
Water Heater Local Waste Sculry Sink Soda Disp
~ Gas D Elect _m pwrVnt Clothes Wshr Hand Sink Coffee Maker
Shower Bidet .... F Prep Sink lee Maker
Floor Drain Beer Tap Serv Sink Site Drain
Lndry Tray Classrm Sink lnt Grease Trap Roof Drain
Lab Sink Surgeons Sink Ext Grease Trap Standp Rec
Plaster Sink Br~akrm Sink
Sterilizer
Electric Contractor
'USe i Nature of Work~)~.-~ff~
Material
Sanitary Sewer
Storm Sewer
, (If Replacement)
Co .Tr.e
Water Service
I-']Electric Installation Verificatidn form attached
3/02