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0115797-Plumbing
e OSHKOSH ON THE WATER Job Address 300 S KOELLER ST CITY OF OSHKOSH No 115797 PLUMBING PERMIT - APPLICATION AND RECORD OWner LANDMARK LIMITED PARTNERSHIP III Contractor D.R. HANSEN PLBG. Category 440 - Industrial-Interior Create Date 08/16/2005 Plan Bathtub ~ Shower 0 Water Softner 0 Wait.St. 0 Shamp Sink 0 Whirlpool 0 Floor Drain 1 Local Waste ~ Ice Chest 0 FlrlWst Sink ~ Lavatory ~ Lndry Tray ~ Clothes Wshr ~ Exam Sink 0 Catch Basin 0 Toilet 2 Disposal 0 Bidet ~ Seulry Sink 0 Wash Ftn ~ Res. Sink ~ Dishwasher ~ BeerTap ~ Hand Sink 0 Urinal ~ Bar Sink 0 Sump Pump 0 Lab Sink 0 Plaster Sink 0 Standp Ree 0 Water Heater -----.! Classrm Sink ~ Sterilizer ~ Surgeons Sink 0 Ice Maker ~ Site Drain ~ Breakrm Sink 1 Dip Well ~ F Prep Sink 0 Gar Drain ~ Roof Drain 0 Ejector/Grind ~ Drink Ftn ~ Serv Sink 0 Soda Disp 0 Misc. ~ Fixtures Coffee Maker ~ Int Grease Trap ~ Ex! Grease Trap ~ RPZValve 0 Eye Wash Statn 0 Wtr Sewer Mtrs 0 Deduct Meters 0 Wtr Usage Mtrs 0 Use/Nature of Work Remodle "300 K" tennant space (Debit Account) Size Material Type 11 Conn. Type I. Sanitary Sewer 0 0 0 0 0 Storm Sewer 0 0 0 0 0 Water Service 0 0 0 0 Pareelld 11 0 0608770000 Valuation $4,000.00 Plan Approval $0.00 Permit Fees $49.00 0 Permit Voided I Issued By Date 08116/2005 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 appiicant to contact the easement holder(s) and to secure any necessary approvals before starting such activity. Signature Date Address 55 KNAPP ST AgenUOWner OSHKOSH WI 54902 - 0000 Telephone Number 233-1595 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. Job Address' 300 S KOELLER ST Owner LANDMARK LIMiTED PARTNERSHIP III Category 440 - Industrial-interior Bathtub 0 Shower Whirlpool " 0 Floor Drain Lavatory 2 Lndry Tray Toilet 2 Disposal Res. Sink 0 Dishwasher Bar Sink ----..c> Sump Pump Water Heater 1 Classrm Sink Site Drain ----..c> 'Breakrm Sink Roof Drain ----..c> Ejector/Grind Misc. ----..c> Fixtures - Plumbing Permit Work Card Permit Number 115797 0 1 0 0 0 0 0 1 0 WaterSoftner 0 Local Waste 0 Clothes Wshr 0 Bidet 0 Beer Tap 0 Lab Sink 0 Sterilizer 0 Dip Well 0 Drink Ftn 0 - Use/Nature ~ of Work I Remodle "300 K" tennant space (Debit Account) Size Material Sanitary Sewer Storm Sewer Water Service Date 8/16/05 Type Underground Type Inspector Rich Wood Contractor Plan D.R. HANSEN PLBG. Create Date 08/16/2005 Wait.St. Ice Chest Exam Sink Sculry Sink Hand Sink Plaster Sink Surgeons Sink F Prep Sink Serv Sink 11 0 0 0 0 0 0 0 0 0 0 Conn.Type Value 0 Shamp Sink ~ 0 FlrlWst Sink ~ 0 Catch Basin ~ 0 Wash Ftn ~ 0 Urinal ----..c> 0 Standp Rec 0 0 Ice Maker ~ 0 Gar Drain ~ 0 Soda Disp 0 Coffee Maker Int Grease Trap Ext Grease Trap RPZValve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs 0 0 0 0 0 approved $4,000.00 ~ ~ ~ ~ 0 ~ 0 ----..c> I DatelTime requested: 8/16/05 02:06 PM Access: Notice Type: Telephone Number: Ready DatelTime: 8/16/05 02:06 PM Requested By: 0 Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid ---------------------------------_u_u_----------------------------------------_uu_---------------u_- Plumbing Permit Work Card Job Address 300 S KOELLER ST Permit Number 115797 Create Date 08/16/2005 Owner LANDMARK LIMiTED PARTNERSHIP III Contractor D.R. HANSEN PLBG. Category 440 - Industrial-Interior Plan Value $4,000.00 Bathtub 0 Shower ~ Water Softner 0 Wait.S!. 0 Shamp Sink 0 Coffee Maker 0 -r-- Whirlpool 0 Floor Drain 1 Local Waste 0 Ice Chest ~ FlrlWst Sink ----..c> Int Grease Trap ----..c> Lavatory ~ Lndry Tray ----..c> Clothes Wshr 0 Exam Sink ----..c> Catch Basin ~ Ext Grease Trap ----..c> Toilet 2 Disposal 0 Bidet 0 Seulry Sink 0 Wash Ftn 0 RPZ Valve ----..c> Res, Sink 0 Dishwasher 0 BeerTap 0 Hand Sink 0 Urinal 0 Eye Wash Statn ----..c> Bar Sink 0 Sump Pump 0 Lab Sink 0 Plaster Sink ~ Standp Rec ~ Wtr Sewer Mtrs ----..c> Water Heater 1 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Deduct Meters ----..c> Site Drain ----..c> Breakrm Sink 1 Dip Well 0 F Prep Sink 0 Gar Drain 0 Wtr Usage Mtrs ----..c> Roof Drain ----..c> Ejector/Grind ----..c> Drink Ftn 0 Serv Sink ~ Soda Disp ~ Misc. 0 Fixtures Use/Nature I of Work Remodle "300 K" tennant space (Debit Account) Size Material Type 11 Conn.Type Sanitary Sewer 0 0 0 0 0 Storm Sewer 0 0 0 0 0 Water Service 0 0 0 0 0 Date 8/19/05 Type Final Inspector Rich Wood approved DatelTime requested: 8/19/05 07:42AM Notice Type: Telephone Number: Access: Ready DatelTime: 8/19/05 11 :00 AM Requested By: 0 Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid - - -- - - - - - ---- -- - - - - - - ----- - - - - - - -- ---------- - - - - ---- - -- - - - - - ------ - - -- - - -- - - - - - - - - - - - - - - - - - - --- - - -- - - -- -- Plumbing Permit Work Card Permit Number 115797 Contractor D.R. HANSEN PLBG. Create Date 08116/2005 Job Address 300 S KOELLER ST OWner LANDMARK LIMITED PARTNERSHIP III Category 440 - Ind,-,strial-Interior Plan Value $4,000.00 Bathtub 0 Shower ----..c> Water Softner 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0 ..-- Whirlpool 0 Floor Drain ----1 Local Waste 0 Ice Chest ~ FlrlWst Sink ~ Int Grease Trap ----..c> Lavatory 2 Lndry Tray ----..c> Clothes Wshr 0 Exam Sink ----..c> Catch Basin ~ Ext Grease Trap ----..c> Toilet 2 Disposal ----..c> Bidet 0 Sculry Sink ~ Wash Ftn ~ RPZ Valve ~ Res. Sink ----..c> Dishwasher ----..c> BeerTap 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0 Bar Sink ----..c> Sump,Pump ----..c> Lab Sink 0 Plaster Sink 0 Standp Ree ~ Wtr Sewer Mtrs 0 Water Heater 1 Classrm Sink 0 Sterilizer 0 Surgeons Sink ~ Ice Maker ~ Deduct Meters ----..c> Site Drain ----..c>' Breakrm Sink 1 Dip Well 0 F Prep Sink ~ Gar Drain ~ Wtr Usage Mtrs ----..c> Roof Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink ~ Soda Disp ~ Misc. ----..c> Fixtures Use/Nature II of Work I Remodle "300 K" tennant space (Debit Account) I Size Material Conn.Type Type 11 0 0 0 0 0 Sanitary Sewer Storm Sewer Water Service 0 0 0 0 0 Date 9/1/05 Type Final Inspector Rich Wood approved DatelTime requested: 9/1/05 08:39AM Notice Type: Telephone Number: Access: Ready Date/Time: 9/1/05 08:39 AM Requested By: 0 Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid - - ---- - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - -- --- ------ -- --- - ---- - - ---- - - - - - - - - - - - --- - --- - - - - - - - -- - - -- - - -----