HomeMy WebLinkAbout0123004-Plumbing (floor drains)
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OSHKOSH
ON THE WATER
Job Address 370 W WAUKAU AVE
CITY OF OSHKOSH
No
123004
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner OSHKOSH TRUCK CORP Create Date 12/21/2006
Category 440 - Industrial-Interior Plan
Water Softner Wait. St. Shamp Sink Coffee Maker
2 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 LEE PLUMBING INC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Install new floor drains. **check #10346
Size Material Type # Conn. Type
,
Sanitary Sewer
Storm Sewer
Water Servi~e
Parcel Id #
1413490500
$0.00
$25.00 0 Permit VoidedJ
Permit Fees
Valuation $1,400.00 Plan Approval
Issued By 8YYl L" )
Date 12/27/2006
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
Agent/Owner
APPLETON
WI 54912 - 0000 Telephone Number 920-213-3867
Address POBOX 7292
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.
o T C #= 1'1 G Ic.&'J. Re.s. ~
r\
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130 \
Phone: (920) 236-5050 nt: ~
Fax: (920) 236-5084 DEe '2. 7 1Jju~
Plumbing Permit Application
~ ~~;:''{11c.
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 $100.00 plus the
nOt"11:lal permit fee, which ever is greater.
OR
If yOU are a contractor varticipatin[J in the Permit Fee Account System and have adequate funds. check here
if yOU want this processed through your account n
Job Address 370 W. LJ~,^,~\.\ AvtValue (Including labor and materials) J$l:i DO Date 1~/;1.0>~
Owner O-Sh Kosh lr~c., ~ Contractor ---.!-ee. \ s PI"" t-- ~ '.V\j .
DSingle Family DDuplex DMulti-Family DRental DCommercial ~ndustrial
If>~ t~S:C3C
N urn ber of Fixtures:
r Bathtub Lndry Standp
Whirlpool Disposal
Lavatory Dishwasher
Toilet Sump Pump
Res. Sink Ejector/Grind
Bar Sink Water Softner
Water Heater Local Waste
o Gas 0 Elect 0 PwrVnt Clothes Wshr
Shower Bidet
Floor Drain ~ Beer Tap
Lndry Tray Classrm Sink
Lab Sink Surgeons Sink
Plaster Sink Breakrm Sink
Sterilizer
Electric Contractor
Use / Nature of Work All.
Dent. Oper. Shamp Sink
Dip Well Flr/Wst Sink
Drink Ftn Catch Basin
Wait.St. Wash Ftn
Ice Chest Urinal
Exam Sink Gar Drain
Sculry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Ice Maker
Serv Sink Site Drain
Int Grease Trap Roof Drain
Ext Grease Trap Standp Rec
. OR DElectric Installation Verification form attached
(If Replacement)
Fk~
Sanitary Sewer
" e tl C Mater1b
'1 I . / r Vc..
Type
#
Conn. Type
Storm Sewer
r"\
,
Water Service
3/02