HomeMy WebLinkAbout0123696-Plumbing (interior)
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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 LLC
Contractor DR HANSEN PLBG.
Category 440 - Industrial-Interior
Bathtub Shower Water Softner Wait. St. Shamp Sink
Whirlpool Floor Drain 10 Local Waste Ice Chest 6 FlrlWst Sink
Lavatory 4 Lndry Tray Clothes Wshr Exam Sink Catch Basin
Toilet 4 Disposal Bidet Sculry Sink Wash Ftn
. .
Res. Sink Dishwasher Beer Tap Hand Sink Urinal
Bar Sink 1 Sump Pump Lab Sink Plaster Sink Standp Rec
Water Heater 1 Classrm Sink Sterilizer Surgeons Sink Ice Maker
-
Site Drain 0 Breakrm Sink Dip Well F Prep Sink Gar Drain
Roof Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp
Misc. 5 1 glass washer,3 dump sinks, 1 tea brewer
Fixtures
No 123696
Create Date 02/08/2007
Plan W2-224-1106-P
Coffee Maker 2
12 Int Grease Trap
Ext Grease Trap
RPZ Valve
. - -,--- ,. > ,-.. ~ y ..
2 Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
3
LATE PERMIT 500 / Buffalo Wild Wings /Interior plumbing per plan approval.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
0611620000
Use/Nature
of Work
Valuation
$40,000.00 Plan Approval
$0.00 Permit Fees
$385.00 D Permit Voided I
Issued By
Date 03/06/2007
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 n easement, strongly urges the permit applicant to contact the
easement holder(s) and to ecess ovals before startin such activity.
Signature
AgenUOwner
OSHKOSH
WI 54902 - 3448 Telephone Number 233-1595
Address 55 KNAPP ST
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 requestis received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
:-: 03/05/2007 14: 38 1'3202337466 DR HANSEN PLUMBING
~~~f:~~~~'---"-~-:;;;F#
~'": ;';.;"IC" Division 1t :3 s7-J! (J lOA.
Oshkosh, WI 54903-1130 r-
Phone; (920) 236-5050
Fax.: (920) 236-5084
Plumbing Permit Applicatiofl'
PAGE 01
~
~OJH
ON THE WATER
I hereby apply for a permit to do and install the following pluro.bing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbjng Code, in the penortnaDce of which all parties hereto agree to and are bouIid by said statutes-
. Application(s) and feces) can be brought to City Hall, Room 205 or mailed 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
normal pennit fee, which ever is greater.
OR
Job Add..., So 0 S ~ tLE h:V nIne ("'clwling ~boc"'" ~""..). 4 0 f'GO Dnre3}S /0 J
Own.. ~ l.)" ~\\ 1.() Lv,\..- /) L,,,,~o,1n.acto. ..D.t r1~..1 '- ('i>IJ'"' . '. . .
DSjngle Family DDuplex DMulti-Family ORental '\l;lcoDlm~r~ial' ','. [JI1i.tJustri~[ ;':,:: :'-:.
Brealom Sinle
Plaster SiRk
Dip Well
St.c:riliter
Misc. t1W'__::<-{~J1r ;. Bibs
Fixturt:.s ~. /'" 6~Jj ~Aj l.,v
Electric Contractor
Number of Fixtu,.es~
'Bamtub
Whir!pool
J.,avalory
Toilet
x .!:L-
j,~
Res. Sink
Bar Sil1k "I, I
Water Healer ""-1--
o Gas 0 61ect 0 ~Vnt
SlIowcr
FJQOr Drain
J( Jf) ~
LndIY Tray.
Lab Sink
Use I Nature of Work
Sa;njtary Sewer
Storm Sewer
Water Service
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water So~er
t.ocal Waste
Clothes Wsbr
Bidet
Beer Tap
CIllDsnn Sink
Surgoons Sink
DrinkFm
Wait. Sl
Ice Chest
Bxam Sink
Sculry Sinl<
Aand Sink
F Prep Sink
Sc:rv Sink
Int Grease Trap
Ext Grease Trap
RP.2_ Valve
Shamp Sink
pjdWSI Sink
tIJ~
yl~
II J ..!!l.:J
1-
J-L
>"--1L
\';:"i;'):~.:'" ~'l~ ;::~('::'i..r:::'~
. Catth Basi~
,Wasb l'tn
Urinal ). 2.
Gar Dr.>io
.soda Disp ;I.. I
Coffee Maker ..;.. -2-
~
RoofPrain
Standp Rer::
Eye Wash Stn
Wtr Sewer MIfS
Deduct Meters
WIT Usage Mtrs
.1- j)v~e IJ~k
OR
/'" X"'- J],.e/-Jif.
DElectric'Installation Verification form attaehed
(If Replacement)
Size
Maten~l
Type
#
Conn. Typo
11/05