HomeMy WebLinkAbout0119094-Plumbing
e CITY OF OSHKOSH No 119094
OSHKOSH PLUMBING PERMIT. APPLICATION AND RECORD
ON THE WATER
Job Address 2700 W 9TH AVE Owner MERCY MEDICAL CENTER OSH INC Create Date 04/25/2006
Contractor BASSETT MECHANICAL Category 440 - Industrial-Interior Plan
Bathtub 0 Shower 0 Water Softner 0 WaitSt 0 Shamp Sink 0 Coffee Maker 0
Whirlpool 0 Floor Drain 1 Local Waste 0 Ice Chest 0 FlrlWst Sink 0 Int Grease Trap 0
Lavatory 5 Lndry Tray 0 Clothes Wshr 0 Exam Sink 16 Catch Basin 0 Ext Grease Trap ----.J:I
Toilet 5 Disposal 0 Bidet 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve ----.J:I
Res. Sink 0 Dishwasher 0 Beer Tap 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
Bar Sink 0 Sump Pump 0 Lab Sink 0 Plaster Sink 0 Standp Rec ----.J:I Wtr Sewer Mtrs 0
Water Heater 0 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Deduct Meters ----.J:I
Site Drain 0 Breakrm Sink 0 Dip Well 0 F Prep Sink 0 Gar Drain 0 Wtr Usage Mtrs 0
Roof Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Misc. 2 hose bibb
Fixtures
Use/Nature
ofWork
NEW CANCER CENTER ADDITION PER STATE APPROVED PLUMBING PLANS TRANSACTION ID NO. 1143960 "CHECK #202034
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0 Parcelld #
0 0613670000
Valuation
$101,000.00
Plan Approval
$0.00
Permit Fees
$203.00 D Pennit Voided I
Issued By
Date 04/25/2006
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Whiie the City of Oshkosh has no authority to enforce easement restrictions of which It is not a party, if you perfonn the work
described in this permit application within an easement, the City strongly urges the pennl! applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Address PO BOX 7000
AgenUOwner
KAUKAUNA
WI 54130 - 7000
Telephone Number 800-236-2502~~920-
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.