HomeMy WebLinkAbout0116607 P
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OSHKOSH
ON THE WATER
Job Address 200 N CAMPBELL RD
CITY OF OSHKOSH
No
116607
PLUMBING PERMIT - APPLICATION AND RECORD
Owner CITY OF OSHKOSH SENIOR CENTER
Create Date 09/28/2005
Contractor JIM'S PLUMBING & HEATING INC
Category 440 - Industrial-Interior
Plan
Bathtub 0 Shower 0 Water Softner 0 WaitSt, 0 Shamp Sink 0
Whirlpool 0 Floor Drain 0 Local Waste 0 Ice Chest 0 FlrlWstSink 0
Lavatory 1 LndryTray 0 Clothes Wshr 0 Exam Sink 0 Catch Basin 0
Toilet 1 Disposal 0 Bidet 0 Sculry Sink 0 Wash Ftn 0
Res. Sink 1 Dishwasher 0 BeerTap 0 Hand Sink 0 Urinal 0
Bar Sink 0 Sump Pump 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Water Heater 0 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Site Drain 0 Breakrm Sink 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Roof Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Misc. 0
Fixtures
Use/Nature r""~"~'-"~
of Work
Coffee Maker 0
Int Grease Trap ~
Ext Grease Trap ~
RPZ Valve 0
Eye Wash Statn 0
Wtr Sewer Mtrs 0
Deduct Meters 0
Wtr Usage Mtrs 0
Size
Material
Type
#
Conn. Type
Sanitary Sewer
0
0
0
0
0
Storm Sewer
Water Service
$1,200.00
Plan Approval
$0.00
Permit Fees
0
0
0
0
0
$21.00 0 Permit Voided I
Parcelld #
0608010000
Valuation
Issued By
Date 10/04/2005
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 approvais before starting such activity.
Signature
Date
Address W6166 GREENVILLE DR
AgenUOwner
GREENVILLE
WI 54942 - 0000
Telephone Number 920-757-5258
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.