HomeMy WebLinkAbout0118041 P
e
OSHKOSH
ON THE WATER
Job Address 1212 N MAIN ST
Contractor FORREST PLUMBING LLC
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner KDC PROPERTIES LLC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fix1ures
Use/Nature
of Work
0
0
1
1
0
----.2
1
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
----.2
0
0
0
0
0
0
0
----.2
Category 440 - Industrial-Interior
Water sollner
Local Waste
Clothes Wshr
0
0
----.2
----.2
0
0
0
0
0
Wail.sl.
Ice Chest
Exam Sink
sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
serv Sink
0
0
0
0
----.2
0
----.2
0
1
Shamp Sink 0
FlrlWst Sink ----.2
Catch Basin 0
Wash Ftn 0
Urinal 0
standp Rec 0
Ice Maker 0
Gar Drain 0
Soda Disp 0
No
118041
----.2 Breakrm Sink
1 Ejector/Grind
0
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
Create Date 12/0812005
Plan
Coffee Maker ----.2
Int Grease Trap 0
Ext Grease Trap 0
RPZ Valve 0
Eye Wash statn 0
Wtr Sewer Mtrs ----.2
Deduct Meters 0
Wtr Usage Mtrs 0
fficel Interior alterations to make accessible bathroom. and divide office as per plan. and relocated door. close up exterior openings,
eplace windows as per plans. NO STRUCTURAL CHANGES - HVAC plans required for HVAC modifications"debit ace!
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
$1,200.00
Plan Approval
Size
Material
Type
#
0
0
0
0
0
0
0
0
0
0
Conn. Type
Parcelld#
1500460000
Date 01/31/2006
$0.00
Permit Fees
0
0
0
0
0
$35.00 D Permit Voided I
In the performance of this work, I agree to perform all work pursuant to rules goveming 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 5210 N LOOP RD
Agent'Owner
LARSEN
WI 54947 - 0000
Telephone Number
920-835-3986
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.