HomeMy WebLinkAbout2004-Plumbing (floor drain/ejector/RPZ)OSHKOSH
ON THE WATER
Job Address 112 VIOLA AVE
Contractor BASSETT MECHANICAL
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner OSH AREA SCHL DIST OAKLAWN
Category 440 - Industrial. Interior
Bathtub 0 Shower 0 Ejector/Grind 1 Dip Well 0 F Prep Sink
Whirlpool 0 Floor Drain 1 Water Softner 0 Drink Ftn 0 Serv Sink
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal
Site Drain 1 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker
No 110272
Create Date 08/24/2004
Plan
0 Gar Drain 0
0 Soda Disp 0
0 Coffee Maker 0
0 Iht Grease Trap 0
0 Ext Grease Trap 0
0 RPZValve · 1
0 Eye Wash Statn 0
0
0
Use/Nature
of Work
i 1 ) iNSTALL RPZ VALVE ON BLR FEED 2) INSTALL EJEC PIT/PUMP, FLR DRN & OSD
Sani~rySewer
Storm Sewer
Water Service
Size Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Valuation $6.000.00 Plan Approval $0.00 Permit Fees $28.00 [] Permit Voided
issued By
Parcel Id #
1514850000
Date 09/01/2004
In the performance of this work, I agree to perform all work pumuant to roles 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 PO BOX 7000 KAUKAUNA WI 54130 - 7000 Telephone Number
800-236-2502==920-
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.