HomeMy WebLinkAbout0122538-Plumbing
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OSHKOSH
ON THE WATER
Job Address 500-550 S KOELLER ST
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner RIVER VALLEY ONE L1,.C
Category 431 - Industrial-Exterior (other)
Contractor JIM'S PLUMBING & HEATING INC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
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
No 122538
Create Date 11/14/2006
Plan W2-224-1106-P
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
COMM/#500 (Buffalo Wild Wings) exterior grease trap. **DEBIT ACCT**.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
0611620000
Valuation
Issued By
$6,000.00 Plan Approval
(2~/O
$0.00 Permit Fees
$25.00 0 Permit Voided I
Date 11/14/2006
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
Address W6166 GREENVILLE DR
GREENVILLE
WI 54942 - 0000 Telephone Number 920-757-5258
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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.
~11/14/2006 10:23 FAX 920
:::
757 6482
JIM'S PLUMBING
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City of Oshkosh
Inspection Servioes Division
POBox 1130
Oshkosh, Wl54903~ 1130
Phone: (920) 236-5050
Fax: (920) 236-5084
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Plumbing Permit Application
,141 001/002
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OJH~OlH
ON THE WATER
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter dcscnoed, ~e work to conform to the
Wisconsin State Plumbing Code, in the pcnom13nce ofwmch all parties hereto agree to and are bound by said statutes.
. .
\1) Application(s) and fee(s) can be brought to City Halt, Room 205 or m~ilcd to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without pennit(s) will result in fees being doubled or $100.00 plus the
nornml permit fee, which ever is greater.
OR
, If you 'are' a contractor particinatin!! i.n the Permit F6€ ACCDlmt System and.have. adenr4at.e ljmcls. 'check her;.,f{!.,
if yOU want this PLQcf?",<:.<:ed thrnUFn vow' accou71.i j2Qr.
Job Address 9-0 ~,~if
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DSingle Family . DDuplex DMulti.Family
&()Ov." ~. Date /I/ttl/ot..
p( t.,"'Ji. .~. -C.J~
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~omm~rCi:iL. ~.. []I.t4ustribf. ;": ',:: :,
. Val u e (Including Inbor nnd materials)
Owner
Contractor
._ I
't 1M. (
-
DRental
DrinkFm
WaiLSl-
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
FPrcp Sink
Serv S;l'Ik
Inl Grease Trap
ExtGre<l~e Trap CD X'
R.P.Z. Valve
Sh3mp Sink
FlrlWst Sink
"',:. 1 ~~.. ~'.~ ~:; ::'i.~t' :.~:~
Catch Basin
. Wll..~h Ftn
Urinal
G:lr Dr!lln
Soda Disp
Coffee Maker
Cornm. lee Maker
Sj~Dr::l.il\
Roof Drain
Standp RIle
Eye Wash Sin
Wrr Sewer Mtr3
Deduct Meters
Wtr US:lgc M!l'S
OR DElectric' Installation Verification form attached
(If &:placcmcnt)
r Sanitary Sewer
Size
Material
Type
"#
Conn. Type
Stonn Sewer
Water SClVice
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11/05