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OSHKOSH
ON THE WATER
Job Address 495 PEARL AVE
CITY OF OSHKOSH
PLUMBING PERMIT. APPLICATION AND RECORD
No
123813
Contractor VALENTINE READER PLUMBING INC
89 Shower 1 Water Softner
Floor Drain 51 Local Waste
-
92 Lndry Tray 1 Clothes Wshr
-
93 Disposal 51 Bidet
-
50 Dishwasher 51 Beer Tap
-
Sump Pump 1 Lab Sink
51 Classrm Sink Sterilizer
Breakrm Sink 1 Dip Well
9 Ejector/Grind 1 Drink Ftn
-
6 HOSE BIBB
Owner PETER JUNGBACHER
Category 440 - Industrial-Interior
Wait. St.
Ice Chest
52 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
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature INTERIOR PLUMBING FOR NEW 50 UNIT APARTMENT.
of Work
Create Date 02/21/2007
Plan Y1-239-0207-P
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
1 Eye Wash Statn
70 Wtr Sewer Mtrs
Deduct Meters
12 Wtr Usage Mtrs
Valuation
Issued By
Size
Sanitary Sewer
Storm Sewer
Water Service
Material
Type
#
Conn. Type
$293,000.00 Plan Approval
Parcel Id #
0102430000
$0.00 Permit Fees
$4,788.00 D Permit Voided I
Date 03/15/2007
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 an easement, the City strongly urges the permit applicant to contact the
easement holder(s) an to secure an necessary approvals before starting such activity.
Signature
Address W2015 INDUSTRIAL DRIVE
AgenUOwner
KAUKANA
Date
'1-/Y-07
WI 54130 - 0000 Telephone Number 920-788-2494
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.
f; Plumbing Permit Work Card
Job Address 495 PEARL AVE Permit Number 0 Create Date 02121/2007
Owner PETER JUNGBACHER Contractor VALENTINE READER PLUMBING INC
Category 440 - Industrial-Interior Plan Y1-239-0207-P Value $0.00
Bathtub 89 Shower 1 Water Softner Wait. St. Shamp Sink Coffee Maker
- - - - -
Whirlpool Floor Drain 51 Local Waste Ice Chest FlrfWst Sink Int Grease Trap
- - - - -
Lavatory 92 Lndry Tray 1 Clothes Wshr 52 Exam Sink Catch Basin Ext Grease Trap
- - - -
Toilet 93 Disposal 51 Bidet Sculry Sink Wash Ftn RPZ Valve
- - - -
Res. Sink 50 Dishwasher 51 Beer Tap Hand Sink Urinal 1 Eye Wash Statn
- - - -
Bar Sink Sump Pump 1 Lab Sink Plaster Sink ~__JH<!m:lp Rec 70 Wtr Sewer Mtrs
- - - - ~
Water Heater 51 Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters
- - - - - -
Site Drain Breakrm Sink 1 Dip Well F Prep Sink Gar Drain 12 Wtr Usage Mtrs
- - - - -
Roof Drain 9 Ejector/Grind 1 Drink Ftn Serv Sink 1 Soda Disp
- - - -
Misc. 6 HOSE BIBB
-
Fixtures
Use/Nature INTERIOR PLUMBING FOR NEW 50 UNIT APARTMENT.
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
ci.t:Yq~6shkosh
~nspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
~
OJHKOfH
ON THE WATER
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.
· 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
If yOU are a contractor TJarticipatinf[ in the Permit Fee Account System and have adequate funds. check~
if you want this processed throufJh your account n
Job Address tOtI! sf.
Owner (fAJ f~
Value{InClUdinglabOrandmaterialS~ ~ 9 3.cx::v. (/t) Date :J~/i'"07
Contractor~/ '6t f: 11/ iI ~e,If/ ;?!va.h / IJ)?
DMulti-Family DRental DCommercial DIndustrial
DSingle Family
DDuplex
Number of Fixtures:
Bathtub 1L Disposal !:} DrinkFtn Catch Basin
Whirlpool Dishwasher ~ Wait. St. Wash Ftn
Lavatory 5"3 Sump Pump I Ice Chest Urinal
Toilet ~'I Ejector/Grind ~ Exam Sink Gar Drain
Res. Sink 5~ Water Softner Sculry Sink Soda Disp
Bar Sink Local Waste Hand Sink Coffee Maker
Water Heater ~O Clothes Wshr ~ F Prep Sink Comm. Ice Maker
o Gas 0 Elect 0 PwrVnt Bidet Serv Sink 1./_ Site Drain
Shower --1--. Beer Tap Int Grease Trap Roof Drain
Floor Drain -~- Classrrn Sink Ext Grease Trap Standp Rec
Lndry Tray JL Surgeons -Slnk' 00 00". R.P.Z. V~fl'e Eye WashStrJ 0
Lab Sink Breakrrn Sink Shamp Sink Wtr Sewer Mtrs
Plaster Sink Dip Well FlrlWst Sink Deduct Meters
Sterilizer Hose Bibs ~ Wtr Usage Mtrs
Misc. ~~~,
Fixtures r;S?
r
~
5~
7
n-
Electric Contractor
OR
DElectric Installation Verification form atJached
(If Replacement)
Use / Nature of Work
CII Size
Sanitary Sewer
Storm Sewer I~'I
Water Service ell
Material
Conn. Type
\
Type
#
11/05