HomeMy WebLinkAbout0112778-Plumbing (sink)
CITY OF OSHKOSH
112778
No
OSHKOSHPLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address2700 W 9TH AVEOwnerMERCY MEDICAL CENTER OSH INCCreate Date02/24/2005
ContractorBASSETT MECHANICALCategoryPlanSTATE APPROVAL
440 - Industrial-Interior
Bathtub0Shower0Ejector/Grind0Dip Well0F Prep Sink0Gar Drain0
Whirlpool0Floor Drain0Water Softner0Drink Ftn0Serv Sink00
Soda Disp
Lavatory00Local Waste0Wait. St.0Shamp Sink00
Lndry TrayCoffee Maker
Toilet00Clothes Wshr0Ice Chest0Flr/Wst Sink0
0
Lndry Stndp
Int Grease Trap
Res. Sink00Bidet0Exam Sink1Catch Basin0
Disposal0
Ext Grease Trap
Bar Sink000Wash Ftn0
Beer Tap0Sculry Sink
Dishwasher
RPZ Valve0
Water Heater000Urinal0
Sump PumpDent. Oper.0Hand Sink
0
Eye Wash Statn
Site Drain000Standp Rec0
Classrm SinkLab Sink0Plaster Sink
Roof Drain000Ice Maker0
Breakrm SinkSterilizer0Surgeons Sink
Use/Nature
of Work
INSTALL EXAM SNK
SizeMaterialType#Conn. Type
Sanitary Sewer0
0
0
0
0
Storm Sewer0
0
0
0
0
Water Service0
0
0
0
Parcel Id #
0
0613670000
$0.00Permit Voided
Valuation$3,500.00Plan ApprovalPermit Fees$25.00
Issued ByDate02/24/2005
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.
Date
Signature
Agent/Owner
AddressPO BOX 7000KAUKAUNAWI54130-7000Telephone Number800-236-2502==920-759-2502
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.
e
OSHKOSH
ON THE WATER
Job Address 2700 W 9TH AVE
CITY OF OSHKOSH
No
112778
PLUMBING PERMIT - APPLICATION AND RECORD
Owner MERCY MEDICAL CENTER OSH INC
Create Date
02/24/2005
Contractor BASSETT MECHANICAL
Category 440 - Industrial-Interior
Plan STATE APPROVAL
Bathtub 0 Shower 0 Ejector/Grind 0 Dip Well 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 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
- - - - - -
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 Flr/Wst Sink 0 Int Grease Trap 0
-
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 1 Catch Basin 0 Ext Grease Trap 0
- - - - - -
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
- -
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 Eye Wash 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
of Work
INSTALL EXAM SNK
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
Parcelld #
0613670000
$20.00 U Permit Voided I
Valuation
$3,500.00
Plan Approval
$0.00
Permit Fees
Issued By
Date 02/24/2005
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
Address
PO BOX 7000
Agent/Owner
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.