HomeMy WebLinkAbout2006-Plumbing (lavatory) � � cmr aF osHKOSH No 11 _N�
� 32�
OSHKOSH PLUMBING PERMt�f-APPLICATION AND RECORD
ON THE WATER
� Job Address 1009 S MAIN ST Owner AUTOMATIC CANTEEN CO Create Date 02l02/2006
iContractor SAMMONS PLUMBING Catepory 440-Industrial-Interior Plan
�
� Bathtub 0 Shower 0 Water Softner 0 Wak.St. 0 Shamp Sink 0 Coffee Maker 0
Whi�lpool 0 Floor Drain 0 Local Waste 0 ice Chest 0 FIrIWst Sink 0 Int Grease Trap 0
Lavatory 1 Lndry Tray 0 Clothes Wshr 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Toilet 0 Disposal 0 Bidet 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Res.Sink 0 Dishwasher p Beer Tap 0 Hand Sink 0 Urinal 0 Eye Wash Statn p
Bar Sink 0 Sump Pump 0 Lab Sink 0 Plaster Slnk 0 Standp Rec 0 Wtr Sewer Mtrs 0
Water Heater 0 Classrm Sink p Sterllizer 0 Surgeons Sink 0 Ice Maker p Deduct Meters p
Site Drain 0 Breakrm Sink 0 Dip Well p F Prep Sink p Gar Drain p Wtr Usage Mtrs p
Roof Drain 0 EjectoNGrind p Driok Ftn p Serv Sink p Soda Disp p
Misc. p
Fixtures
Use/Nature NSTALL WALL HUNG LAV '*DEBIT ACCT
of Work
Size Mate�ial Type # Conn.Type
Sanitary Sewer 0
0
0
. 0
0
Stonn Sewer p
0
0
0
0
Water Service p
0
0
� Parcel Id#
� 0302490000
Valuation $500.00 Plan Approval 30.00 Permit Fees 320.00 ❑ Permit Vaded�
Issued By Date 02/02/2006
In the performance of this work,I agree to perform all work pursuant to rules goveming the described�nstruction.
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 pennit appliption within an easement,the City strongly urges the permit appiipnt to contact the
easement holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address 522 W.MURDOCK AVE OSHKOSH WI 54901 -2298 Telephone Number 231-9880
To schedule inspections please call the Inspection Request line at 236-5728 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 specifled 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.