HomeMy WebLinkAbout0105368-Plumbing (shower)OSHKOSH
ON THE WATER
,Job Address 727 BALDWIN AVE
Contractor M P KELLY
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner MARY F KRIHA
Category 410 - Residential-Interior
No 105368
Create Date 11/17/2003
Plan
Bathtub 0 Shower 1 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 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/Install shower.
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 $2,044.05 Plan Approval $0.00 Permit Fees $20.00 ~J Permit Voided
Issued By
Date
11/17/2003
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
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fa×: (920) 236-5084
NOV 1 7 2005
Plumbing Permit gCati'etlli T OF
I hereby apply for a permit to do and install the fo · g p ' g p ' ' ' work to conform to the
Wisconsin State Plumbing Code, in the perforr~nce 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 ~ater.
OR
If you are a contractor p~rticipating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account [-]
~eFa211y O~;plex-- ~M.lti-Family ~Rental '~&;mereial UI.,.,trial
Date / -P/-AS
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper. Shanlo Sink
Whirlpool Disposal Dip Well Flr/Wst. Sink
Lavatory Dishwasher Drink Fm Catch Basin
Toilet Surn~ Pump Wait. St. Wash Ftn
Res. Sink Ej~tor/Grind Ice Chest Urinal
Bar Sink Water Sofmer Exam Sink Gat Drain
Water Heater Local Waste Sculry Sink Soda
D Oas ~ Elect ~ PwrVnt Clothes Wshr Hand Sink Coff~ Maker
Shower I Bidet .... F Pr~ Sink lee Maker
- Floor Drain Beer Tap Serv Sink Site Drain
Lndry Tray Classrm Sink Iht Grease Trap Roof Drain
Lab Sink Surgeons Sink Ext Grease Trap Standp Rec
Plaster Sink Breaknn Sink
Sterilizer
Electric Contractor
(If Replacement)
'Use / Nature of Wor ~
Sanitary Sewer
Storm Sewer
Water Service
O.~ [--]Electric Installfition Verificati6n form attached
Conn. Type
Size Material Type #
3/02