HomeMy WebLinkAbout0123598-Plumbing (fixtures)
e
OSHKOSH
ON TidE WATER
Job Address 145 HIGH AVE
CITY OF OSHKOSH No 123598
PLUMBING PERMIT - APPLICATION AND RECORD
Category 440 - Industrial-Interior
Owner RICHARD A WILKINS Create Date 02/22/2007
Plan
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
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Gri nd
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
Wait. St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
Shamp Sink
Flr/Wst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Replace water closet, lavatory and install new hand sink.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0101030000
$0.00 Permit Fees
$2,000.00 Plan Approval
Valuation
Issued By
$25.00 D Permit Voided I
Date 02/22/2007
In the performance of this work, I agree to perform all work pur&uant to rules goveming 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
Address W6166 GREENVILLE DR
AgenUOwner
GREENVILLE
Date
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 (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.
~02/:1/2007 07:20 FAX 920
::: City ofO,blro,h
'Inspection Services Division
P () Box 1130
Oshkosh, WI 54903~ 1130
. Phone: (920) 236~5050
Fax: (920) 236~5084
757 6482
JIM'S PLUMBING
l4J 001/001
~
OfHKOfH
ON THE WATER
Plumbing Permit Application
I herehy apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to confonn to the
Wisconsin State Plumbing Code, in the performance of which aU'parties hereto agree to and are bound by said stat11tes.
@ 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
ill the Permi F~e Account S stem and.have. adequate .funds" check here
our account
. /rrr- ,; YdL{ )\1 /Y)ain of.
~lo1lJ Address~ )J1/~ ..I),.r4...._ 'Value (InchldinglaborflndmMerials) 1/2()-;J I) "
Owner C lJ(l(,p t.,;/ Pre.r(""~"1 . Contractor d''':;'-~'j pJ/~'''.:f^
OSingleFamily DOuplex. DMulti~Family DRental WO~l1~r.tial' ~ [JIn~ustri~r: :~.
Number of Fixtures~
Bathtub
Whirlpool
I",wa tory
Toilet
.J,~e!f.' Sink
Bar Sink
Water Heater
o Gas D Elect 0 PwrVnt
i
-L:..-
i.._
Shower
Floor Drain
lJldry TIay
l.nb Sink
Plaster Sink
Sterilizer
Misc.
FiXtmes
li:lectric Contractor
'Use I Nature of 'Vork..
Sanitary Sewer
Storm Sewer
Water Service
.' Date l"~/l()/o 7
I
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tall
Classlm Sink
Surgeons Sink
Breakrm Sink
Dip Well
Hose Bibs
.." ~\; :~. .~ : - :-'t. r ...
Drink ftn Catch Basin
Wait.St. . Wash Ftn
Ice Chest' JJrinal
Exam Sink Gar Drain
Sculry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Comm. Ice Maker
Sel>' Sink Site Drain
Int Grease Tm]> Roof Drain
Ext Grease Trap Standp Rec
R.P.Z. Valve Eye Wash SIn
Shamp Sink WlT Sewer MlTs
Flr/Wst Sink Deduct Meters
Wlr Usage MIl'S
OR
DElectric'Installation Verification form attacbed
(If Replacement)
Size
Material
Conn. type
Type
#
11/05