HomeMy WebLinkAbout0105376-Plumbing (standpipe)OSHKOSH
ON THE WATER
.lob Address 323 W 6TH AVE
Contractor JNL PLUMBING
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 RICHARD/LOUISE ONEILL LIFE EST
Category 410 - Residential-Interior
No 105376
Create Date 11/18/2003
Plan
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
0 WaterSoftner 0 Drink Ftn 0 ServSink 0 Soda Disp 0
0 Local Waste 0 Wait. St. 0 ShampSink 0 Coffee Maker 0
1 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
0 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0
0 Dent. Oper. 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature Duplex/2nd floor laundry standpipe
of Work
Sanitary Sewer
Storm Sewer
Water Service
Size
Material Type
#
0
0
0
0
0
0
0
Conn. Type
Valuation $500.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Date
11/18/2003
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 1111 Minnesota Oshkosh WI 54902 - 0000 Telephone Number
232-7270
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
Fax: (920) 236-5084
O/HKO/H
Plumbing Permit Application
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 l 128,
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
lf ¥ou are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account [~
JobAddress 3 2 3 kJ ~.,+Jc~ <~ Value(lncludinglaborandmaterials). Ct) O
Owner Contractor ~ /~t L. F/C,,,n,/~ ~,~ff
[~Single Family [~uplex [-]Multi-Family ~]Rental ~]Commercial
Date
[--]Industrial
Number of Fixtures: /
Bathtub Lndry Standp ~ / Dent. Open
Whirlpool Disposal Dip Well
Lavatory Dishwasher Drink Ftn
Toilet Sump Pump Wait. St.
Res. Sink Ejector/Grind Ice Chest
Bar Sink Water Sofmer Exam Sink
Water Heater Local Waste Sculry Sink
[3 Gas ~ Elect [3 pwrVnt Clothes Wshr Hand Sink
Shower Bidet F Prep Sink
Floor Drain Beer Tap Serv Sink
Lndry Tray Classrm Sink Iht Grease Trap
Lab Sink Surgeons Sink Ext Grease Trap
Plaster Sink Brealam Sink R.P.Z. Valve
Sterilizer
Shamp Sink
Flr/Wst Sink
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Rec
Eye Wash Ste
Electric Contractor
Use / Nature of Work
OR [~Electric Installation Verification form attached
(If Replacement)
Sanitary Sewer
Size Material
T~e # Co~.T~e
Storm Sewer
Water Service
7/03