The URL can be used to link to this page

Home My WebLink About0103621-Plumbing (catch basins)OSHKOSH ON THE WATER .lob Address 815 S WESTHAVEN DR Contractor S&S MECHANICAL CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner SORROWFUL SISTER OF THE MGI Category 431 - Industrial-Exterior (other) No 103621 Create Date 08/20/2003 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 0 Bidet 0 Exam Sink 0 Catch Basin 3 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 Basins 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 $10,280.00 Plan Approval $0.00 Permit Fees $20.00 ~J Permit Voided Issued By Date 08/20/2003 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 414 SOUTH HWYW MT CALVARY WI 53057 - 0000 Telephone Number 920-753-3456 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. OSHKOSH ON THE WATER Job Address 815 S WESTHAVEN DR Contractor S&S MECHANICAL 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 No 103621 PLUMBING PERMIT - APPLICATION AND RECORD Owner SORROWFUL SISTER OF THE MGI Create Date 08/20/2003 Category 431 - Industrial-Exterior (other) Plan 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0 0 WaterSoftner 0 Brink Ftn 0 Serv Sink 0 Soda Disp 0 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0 0 Bidet 0 Exam Sink 0 Catch Basin 3 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 ofUse/Nature Work [Catch Basins Sanitary Sewer Size Material Type # Conn. Type 0 0 0 0 0 Storm Sewer Valuation Issued By~,~ Water Service $10,280.00 Plan Approval $0.00 Permit Fees 0 0 0 0 0 $20.00 [] Permit Voided Date 08/20/2003 In the performance of this work, I agree to perform ali 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) a~aJ:~ secure anz~ce~sary approvals before starting such activity. Signature ~/'~ ~'?~------~/ Date AgentJOwner Address 414 SOUTH HWY W MT CALVARY WI 53057 - 0000 Telephone Number 920-753-3456 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 o~ 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 1128, Oshkosh WI 54903-I 128. 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 (f ¥ou want this processed through vour account [~ Job Aaares.s ~-~7~/~. Value (Including hbo, and materials) Owner /~.~¢_.~ f o~ Contractor ~Single Family ~Duplex ~Multi-Family ~Rental ~Commercial ~Industrial Date Number of Fixtures: Bathtub Lndry Standp Dent. Oper. Shamp Sink Whirlpool Disposal 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 Sofmer Exam Sink Gar Drain Water Heater Local Waste Sculry Sink Soda Disp [] Gas [2 Elect 13 pwrVnt Clothes Wshr Hand Sink Coffee Maker Shower Bidet F Prep Sink Ice Maker Floor Drain Beer Tap Serv Sink Site Drain Lndry Tray Classrm Sink ht Grease Trap Roof Drain Lab Sink Surgeons Sink Ext Grease Trap Standp Rec Plaster Sink Breakrm Sink tLP.Z. Valve Eye Wash Sin Sterilizer Electric Contractor Use / Nature of Work OR [~Electric Installation Verification form attached (If Replacement) Sanitary Sewer Storm Sewer Water Service Size Material Type # Corm. Type 7/03