HomeMy WebLinkAbout0118346 P
0
OSHKOSH
ON THE WATER
Job Address 1331 HIGH AVE
CITY OF OSHKOSH
No
118346
PLUMBING PERMIT - APPLICATION AND RECORD
Owner RIVER VALLEY CHURCH INC
Contractor SAMMONS PLUMBING
Category 440 - Industrial-Interior
Create Date 03/02/2006
Plan
Bathtub 0 Shower ----.iJ Water Softner 0 Wail.SI. ----.iJ Shamp Sink ----.iJ
Whirlpool 0 Floor Drain 0 Local Waste 0 Ice Chest 0 FlrlWst Sink ----.iJ
Lavatory ----.iJ Lndry Tray 0 Clothes Wshr ----.iJ Exam Sink ----.iJ Catch Basin ----.iJ
Toilet 0 Disposal 0 Bidet 0 Sculry Sink 0 Wash Ftn ----.iJ
Res. Sink ----.iJ Dishwasher 0 BeerTap 0 Hand Sink 0 Urinal ----.iJ
Bar Sink 0 Sump Pump 1 Lab Sink 0 Plaster Sink 0 Standp Rec ----.iJ
Water Heater 0 Classnm Sink 0 Sterilizer 0 Surgeons Sink ----.iJ Ice Maker ----.iJ
Site Drain ----.iJ Breakrm Sink 0 DipWell 0 F Prep Sink ----.iJ Gar Drain 0
Roof Drain ----.iJ Ejector/Grind 0 Drink Ftn 0 Serv Sink 0 Soda Disp ----.iJ
Misc. ----.iJ
Fixtures
Coffee Maker ----.iJ
Int Grease Trap ----.iJ
Ex! Grease Trap ----.iJ
RPZ Valve ----.iJ
Eye Wash Statn ----.iJ
Wtr Sewer Mtrs ----.iJ
Deduct Meters ----.iJ
Wtr Usage Mtrs ----.iJ
Use/Nature
ofWork
I""'" '"" _e .."," ~
Size
Material
Type
#
Conn. Type
Sanitary Sewer
0
0
0
0
0
Storm Sewer
Water Service
$350.00
Plan Approval
$0.00
Permit Fees
0
0
0
0
0
$20.00 0 Penmit Voided I
Pareelld #
1202750000
Valuation
Issued By
Date~
In the performance of this work, I agree to perfonm ail 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 perfonm the work
described in this permit application within an easement, the City strongly urges the penmlt applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Address 522 W. MURDOCK AVE
AgenVOwner
OSHKOSH
WI 54901 - 2298
Telephone Number 231-9880
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.