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OSHKOSH
ON THE WATER
Job Address 1623 BOWEN ST
PLUMBING PERMIT - APPLICATION AND RECORD
CITY OF OSHKOSH No 123621
Owner JAMES H LANG Create Date 12/29/2006
Plan X1-237-0207-P
Contractor OGDEN PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Category 440 - Industrial-Interior
Coffee Maker
lnt Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Interior plumbing for new service station (convenience store). Per Plan review.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1504830400
Valuation
Issued By
Shower Water Softner Wait. St. Shamp Sink
Floor Drain 4 Local Waste -Ice Chest FlrlWst Sink
1 Lndry Tray Clothes Wshr Exam Sink Catch Basin
1 Disposal Bidet Sculry Sink 1 Wash Ftn
-
Dishwasher Beer Tap Hand Sink 1 Urinal
Sump Pump Lab Sink Plaster Sink Standp Rec
1 Classrm Sink Sterilizer Surgeons Sink Ice Maker
-
3 Breakrm Sink Dip Well F Prep Sink Gar Drain
3 Ejector/Grind Drink Ftn Serv Sink Soda Disp
3 Hose bibb, expresso machine and cup sink
$8,000.00
$0.00 Permit Fees
$161.00 D Permit Voided I
Date 02126/2007
Plan Approval
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 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 PO BOX 689
Agent/Owner
NEENAH
WI 54957 - 0689 Telephone Number 725-8985
Date
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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Ogden Plumbing
9207258984
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City of Oshkosh
Inspection Services Divi!:ion
POBox 1130
OShkQsh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Plumbing Permit Application.
p. 1
1 hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to lht:
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
in the Permit Fee Account S 'stem and have ade
our account
Job Addressl(P~~Y 1/ &U6J s7
Owner ~~ 6r/
Value (Includinglabor3l1dmaterials) ~~C>O~ 00 Date:2.-:l~-c:J7
Contractor ~b E;.J p/O,tf8.HJt,---
DSingle Family
DDuplex
DMulti-Family
DRental
~Commercial
DlndustriaJ
Number of Fixtures:
Bathlub
Whirlpool
Lavatory
Toilet
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local W lisle
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Surgeons Sink
Breakrm Sink
Drink rtn Catch Basin
Wail. SI. Wash Ftn
Ice Chest Urinal
EXam Sink: Gar Drain
Sculry Sink :r- Suda Disp
Hand Sink :..L Coffee Maker
F Prep Sink Carom. Ice Maker
Serv Sink . I Site Drain
lnt Grease Trap --L Roof Drain
Ext Grease Trap Standp Rec
R.P.Z. Valve Eye Wash Sm
Shamp Sink Wtr Sewer Mtrs
Flr/Wst Sink Deduct Meters
Wtr Usage Mtrs
--L
~
Res. Sink
Bar Sink
Water Heater ;-r-
o Gas J(Elect 0 PwrVnt
Shower
Floor Drain
Lndry Tray
Lab Sink
I-J II'
Plaster Sink
DipWeU
Hose Bibs
Misc. I - 6;1-/1-< lI' jt-1..cAtM.
Fixlures .--1- - ( '"'t S I~k.
Electric Contractor
Sierilizer
.-L-
DElectric Installation Verification form attached
(lfReplacement)
OR
(
Use I Nature of Work
/'
Sanitary Sewer
Type
Conn. Type
Storm Sewer
Water Service
11/05