HomeMy WebLinkAbout0123020-Plumbing (2 floor & 2 trench drains)
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OSHKOSH
ON THE WATER
Job Address 333 W 29TH AVE
CITY OF OSHKOSH
No
123020
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
2 Trench drains
Owner OSHKOSH TRUCK CORP Create Date 12/22/2006
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 Install new floor drains and trench drains.
of Work
Size
Type
#
Conn. Type
Material
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1413490000
$0.00
$28.00 0 Permit Voided I
Permit Fees
Valuation $3,490.00 Plan Approval
Issued By ~LLJ
Date 12/28/2006
In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction.
While the City of Oshkosh has no authority to enforce easement restrictio(ls of which it is n~t 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.
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City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, VVI54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
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Plumbing Permit Application
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
Ifvou are a contractor varticipatinfJ in the Permit Fee Account Svstem and have adequate funds, check here
if vou want this processed throurzh vour account n
Job Address 133 w. J ~ +1, Avt · Value O~'",ling '.romd """"'""~ 3t ~ "I D DateJdj'.;>./!o,
Owner OslJ(os6 Tf-<AC 1'\ Contractor --1-u ~ I l,--b;l\~ I
DSingle Family DDuplex DMulti-Family DRental DCommercial ~ndustrial
~ N urn her of Fixtures:
, Bathtub Lndry Standp
Dent. OpeL Shamp Sink
Whirlpool Disposal DipWel1 Flr/Wst Sink
Lavatory Dishwasher Drink Ftn Catch Basin
Toilet Sump Pump Wait.St. Wash Ftn
Res. Sink Ejector/Grind Ice Chest Urinal
Bar Sink Water Softner Exam Sink Gar Drain
Water Heater Local Waste Sculry Sink Soda Disp
o Gas 0 Elect 0 PwrVnt Clothes Wshr Hand Sink Coffee Maker
Shower -d('i'r..~idet F Prep Sink Ice Maker
Floor Drain ~ Beer Tap Serv Sink Site Drain
Lndry Tray Classrm Sink Int Grease Trap Roof Drain
Lab Sink Surgeons Sink Ext Grease Trap Standp Rec
Plaster Sink Breakrm Sink
Sterilizer
Electric Contractor
OR
DElectric Installation Verification form attached
(If Replacement)
Use / Nature of Work
Fj).lS
~or
rCAn - off
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
('\
VV ater Service
3/02