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Home My WebLink About0105123-Plumbing (water heater & disposal)OSHKOSH ON THE WATER ,Job Address 845 NICOLETAVE Contractor M P KELLY CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner WILLIAM J PABLE JR Category 410 - Residential-Interior No 105123 Create Date 11/04/2003 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 0 Lndry Tray 0 LocalWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0 Toilet 0 Lndry Stndp 0 ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0 Res. Sink 0 Disposal 1 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 1 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/Replace disposal & gas water heater. 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 $763.00 Plan Approval $0.00 Permit Fees $20.00 ~J Permit Voided Issued By Date 11/04/2003 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 1130 Oshkosh, WI 54903 -1130 Phone: (920) 236 -5050 NOV 0 4 2u3 K H Fax: (920) 236 -5084 DEPARTMENT OF ON THE WATER c' LUN Application Y DEYELQ MENT Plumbing Permit 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 permit fee, which ever is greater. OR 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 n Job Address p 4"5 `t teo I et- AdliF—Value (Including labor and materials) t Date Owner `A) IVL 1 A 6 CE__ Contractor 01? ijE// Ale [Ding Family Du x Multi -Family Rental Commercial le Y 1 Pe Y Industrial Number of Fixtures: Bathtub Lndry Standp Dent. Oper. Shamp Sink Whirlpool Disposal __L__ Dip Well Flr/Wst Sink Lavatory Dishwasher Drink Fm Catch Basin Toilet Sump Pump Wait. St. Wash Ftn Res. Sink Ejector/Grind Ice Chest Urinal Bar Sink Water Softner Exam Sink Gar Drain Water Heater 1 Local Waste Sculry Sink Soda Disp *Gas 0 Elect 0 PwrVnt Clothes Wshr Hand Sink Coffte Maker Shower Bidet F Prep Sink Ice Maker Floor Dram Beer Tap Sery Sink Site Drain Lndry Tray Classrm Sink Int Grease Trap Roof Drain Lab Sink Surgeons Sink Ext Grease Trap Standp Rec Plaster Sink Break= Sink Sterilizer Electric Contractor OR ['Electric Installation Verification form attached 1 (If Replacement) Use Nature of Work 'RQ Q_ DUS *i i 4% d-- 00,14— (L-L_.. Size Material Type Conn. Type Sanitary Sewer Storm Sewer V Water Service 3/02