HomeMy WebLinkAbout2007-Plumbing
" "" ~ CITY OF OSHKOSH 123623
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OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE iNA.TER
Job Address 3001 S WASHBURN ST Owner FIRST HORIZON GROUP LIMITED PTNSHP
Contractor OGDEN PLUMBING Category 440 - Industrial-Interior Plan
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
COff~e Maker
Int G ease Trap _
Ext lrease Trap _
RPZ alve
Eye I ash Statn -
Wtr ewer Mtrs
Oed ct Meters
Wtr 4sage Mtrs
- - - -
-
C10 - Aeropostale - Interior alterations/remodel for new tenant
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer i
"
Water Service ,i
~
Parcelld #
,
! 1329420000
Valuation
Issued By
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
Classml Sink Sterilizer Surgeons Sink Ice Maker
Breakrm Sink Dip Well F Prep Sink Gar Drain
Ejector/Grind Drink Ftn Serv Sink Soda Disp
$4,000.00 Plan Approval
$0.00 Permit Fees
$42.00 0 Permit Voided I
,.1
I
pate 02126/2007
I
In the performance 0 this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of sh s no thority to enforce easement restrictions of which it is not a party, if you perform the work
described in this pli ti n ithin an easement, the City strongly urges the permit applicant to contact the
easement holder 0 c any necessary approvals before starting such activity.
Signature
Agent/Owner
NEENAH
WI 54957 - 0689 Telephone Number 725-8985
Address PO BOX 689
Date c2 - ;;L~ -0 7
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit NUrJ'lber, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Na~e 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, WI 54903-1130
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.
· App1ication(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
If YOU are a contractor participating in the Permit Fee Account System and have adequate funds, check here
i ou want this rocessed throu h our account .
J#t!JJ ) ~/}. -" SP4c;F 4LC.'(/Ie>
Job Address fkJA1E. u(j71e1/fHfvalue (Including labor and materials) ~IO() . 06 Dateo?-.;<6-07
Owner 1l6-'ZOP()S,,/,4-LE. Contractor tJGlJ.&J jJ/ct/J16:T~~
DSingle Family DDuplex DMulti-Family DRental ~ommercial DIndustrial
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater ~
o Gas J(Elect 0 PwrVnt
Shower
Xl
---L
Floor Drain
-'-
~
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Electric Contractor
Use I Nature of Work
Sanitary Sewer
Storm Sewer
Water Service
Disposal Drink Ftn -L Catch Basin
Dishwasher Wait.St. Wash Ftn
Sump Pump Ice Chest Urinal .
Ejector/Grind Exam Sink Gar Drain
Water Softner Sculry Sink Soda Disp
Local Waste Hand Sink Coffee Maker
Clothes Wshr F Prep Sink Conun. Ice Maker
Bidet Serv Sink Site Drain
Beer Tap Int Grease Trap Roof Drain
Classrm Sink Ext Grease Trap Standp Rec
Surgeons Sink R.P.Z. Valve Eye Wash Stn
Breakrm Sink Shamp Sink Wtr Sewer Mtrs
Dip Well Flr/Wst Sink Deduct Meters
Hose Bibs Wtr Usage Mtrs
OR
DElectric Installation Verification form attached
(If Replacement)
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Size
ljil
Material
C~-r:
Type
#
Conn. Type
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11/05