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Home My WebLink About0122805-Plumbing G CITY OF OSHKOSH OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 21272129 JACKSON ST No 122805 Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Owner JACKSON STREET DEVELOPMENT LLC Create Date 12/06/2006 Category 440 - Industrial-Interior Plan Water Softner Wait. St. Shamp Sink Coffee Maker Local Waste Ice Chest FlrlWst Sink Int Grease Trap Clothes Wshr Exam Sink Catch Basin Ext Grease Trap Bidet Sculry Sink Wash Ftn RPZ Valve Beer Tap Hand Sink Urinal Eye Wash Statn Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs Sterilizer Surgeons Sink Ice Maker Deduct Meters Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs Drink Ftn Serv Sink Soda Disp Contractor SBS PLUMBING LLC Use/Nature COMM (2127) / CONBERTING EXISTING LAV & TOILET TO BE ADA ACCESSIBLE, ABANDONING 1 LAV & 1 TOILET **debt acct of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 1219640000 $25.00 D Permit Voided I Valuation $2,000.00 Plan Approval IssuedBy ~lAJ $0.00 Permit Fees Date 12/06/2006 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 approvals before starting such activity. Signature Date Address 4635 RED FOX RD Agent/Owner OSHKOSH WI 54904 - 0000 Telephone Number 920-410-5933 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. City .of Oshkosh Inspection Services Division POBox 1130 Oshkosh, VVI54903-1130 f\ Phone: (920) 236-5050 , Fax: (920) 236-5084 llECOG2~ Plumbing Permit Application I hereby apply fer a permit t.o do and install the following plumbing .on the premises hereinafter described, the work to conform to the Wisconsin State Plumbing Code. in the performance of which all parties hereta agree ta and are bound by said statutes. · Application(s) and fee(s) can be braught ta City Hall, Raom 205 .or mailed to Inspection Services, PO Box 1128, Oshkosh WI 54903-1128. Cammencing wark without pemlit( s) will result in fees being doubled .or $100.00 plus the normal permit fee, which ever is greater. OR If you are a contractor participating in the Permit F l? A i au want this rocessed throu h our accoUnt ~ Job Address ;).1)., JA(;.~I'\ s't \ Value (lncluding labor and materials) ;,JCX::c>'- Owner (\b~~T'U.'"i.p4.ltWi ~ hrrA Contractor -s~'S .~\M.~V.{6 OSingle Fa.mily DDuplex DMulti-Family DRental ~mmercial Date I~/~/o~ DlndustriaI (\,Number of Fixtures: Bathtub ~ Whirlpool L&Vli~Ory ToUet Res. Sink BlIr Sink Watef Heater _ o Gas 0 Elect 0 P",'!'Vnt -.L _L Disposal Dishwasher Sump Pump Ejector/Grind Water $oftncr Local Waste Clothes Wshr Bidet Prink Fm Wait-St- Ice Chest Exam Sink Sculry Sink Hand Sink F Prep Sink Serv Sink Int Grease Trap Ex!. Grease Trap R.P.Z. Valve. Shamp Sink FlrlWst Sink Catch Basin Wash Ftn Urinal Gar Drain Soda Disp Coffee Maker CornTl1. Ice Maker Site Drain Roof Drain Standp Rec Eye Wash St.,,} Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Shower Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Mise, Fixtures Beer Tap Classrm Sink Surgeons Sink Breakrm Sink Dip Well Hose Bibs Electric Contractor OR DElectric Installation Verificanon form attached (If Replacement) Use J Nature of Work C.cJNY'iIl71^" "?x,'stW} L:>41. tj.. I'bdLT To be... AOA Acs_l2.sS.~if. J 1!~A./'J';J~t:Jldb !(.Al/'l-I/oJlQ..7 r- t /"""'.. l..sanitary Sewer f 'Ii I Storm Sewer 1 Water Service Size Material Type # Conn. T~ "I I I !