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Home My WebLink About2006-Plumbing o OSHKOSH ON THE WATER Job Address 2450 S WASHBURN ST CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner CONVENIENCE STORE INVESTMENTS Contractor W&D NAVIS,INC Category 430 - Industrial-Exterior (laterals) No 122788 Create Date 12/05/2006 Plan Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature fA,bandon 4" sanitary sewer and 1-1/2 water laterals at Wisconsin Farms Restaurant for new Kwik Trip convenience store. **Kwik Trip of Work !Address will be 2400 S Washburn S1.** Shower Water Softner Wait. St. Shamp Sink Floor Drain Local Waste Ice Chest FlrlWst Sink Lndry Tray Clothes Wshr Exam Sink Catch Basin Disposal Bidet Sculry Sink Wash Ftn Dishwasher Beer Tap Hand Sink Urinal Sump Pump Lab Sink Plaster Sink Standp Rec Classrm Sink Sterilizer Surgeons Sink Ice Maker Breakrm Sink Dip Well F Prep Sink Gar Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp Coffee Maker Int Grease Trap Ext Grease.Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Valuation Issued By Size Material # Conn. Type Parcelld # 1325500000 Date 12/05/2006 Type 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 ap: tion wft in an nt trongly urges the permit applicant to contact the easement holder(s) and secure an n essa fore starting such activity. Signature Sanitary Sewer Storm Sewer Water Service $600.00 $0.00 ___ $25.00 D Permit Voided I Plan Approval Permit Fees Address PO BOX 48 Date / 7--/ ~) t.Jb WAUPAN WI 53963 - 0000 Telephone Number 1-920-324-8995 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. (""i City of Oshkosh Inspection Services Division POBox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 ~ OfHKOfH ON THE WATER Plumbing Permit App ication I hereby apply for a permit to 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 hereto agree to and are bound by said statutes. . Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI 54903-1128. Commencing work without permit(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 Fee Account System and have adequate funds. check here if yOU want this processed throuf!h your account n Job Address lLf50 ~~o...;,.kbwl'J Owner i< w;. k Yr. p DSingIe Family DDuplex Value (Including labor and materials) ~ (!}O . 0 a Contractor wi' f) Nt....v?S, .IrJ c. ' DMulti-Family DRentaI ~ommercial Date I L/S-It:70 DIndustrial r, Number of Fixtures: Bathtub Disposal Whirlpool Dishwasher Lavatory Sump Pump Toilet Ejector/Grind Res. Sink Water Softner Bar Sink Local Waste Water Heater Clothes Wshr o Gas 0 Elect 0 PwrVnt Bidet Shower Beer Tap Floor Drain Classnn Sink Lndry Tray Surgeons Sink Lab Sink Breaknn Sink Plaster Sink DipWeJJ Sterilizer Hose Bibs Misc. Fixtures Electric Contractor OR DrinkFtn Catch Basin Wait.St. Wash Ftn Ice Chest Urinal Exam Sink Gar Drain Sculry Sink Soda Disp Hand Sink Coffee Maker F Prep Sink Comm. Ice Maker Serv Sink Site Drain Int Grease Trap Roof Drain Ext Grease TriiP Standp Rec RP.Z. Valve Eye Wash Stn Shamp Sink Wtr Sewer Mtrs Flr/Wst Sink Deduct Meters Wtr Usage Mtrs DEIectric Installation Verification form attached (If Replacement) Use / Nature of Work disc{)f\rtec+ I a.-fe.rJ/s Size Material Type # Conn. Type r Sanitary Sewer Storm Sewer Water Service 11/05