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HomeMy WebLinkAbout0123875-Plumbing (ejector) o OSHKOSH ON THE WATER Job Address 3815 OREGON ST CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner POW'R GARD GENERATOR CORP Contractor HURCKMAN MECHANICAL INDUSTRIES, INC. Category 440 -Industrial-Interior Bathtub Shower Water Softner Wait. St. Shamp Sink Whirlpool Floor Drain Local Waste Ice Chest Flr/Wst Sink Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin Toilet Disposal Bidet Sculry Sink Wash Ftn Res. Sink Dishwasher Beer Tap Hand Sink Urinal Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain Roof Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp Misc. Fixtures No 123875 Create Date 03/21/2007 Plan V1-211-0806-PA Coftee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs INSTALL EJECTOR ON CATCHBASIN DRAIN FOR SAMPLING PURPOSE. CK#48175 , Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcelld # 1413680802 Use/Nature of Work Valuation $3,000.00 Plan Approval $0.00 Permit Fees $7.00 D Permit Voided I Issued By 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 POBOX 10977 Agent/Owner GREEN BAY WI 54307 - 0977 Telephone Number 920-499-6984 EXT 1 Date 03/21/2007 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. City of Oshkosh Inspection Services Division POBox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 MAR 1 6 2007 ~ OfHKOfH 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 $100.00 plus the normal permit fee, which ever is greater. OR If vouare a contractor participating in the Permit Fee Account System and have adequate funds. check here if yOU want this processed throuf!h your account n AJj h /eYflJi f /2./2.3)' DDuplex Value (Including labor and materials) Contractor In I RD Al C!n IJ$./ DMulti-Family DRental DCommercial Date :3 -/4-0 1 Job Address 3~/5 O/(trd,O/J Sf' Owner bALOo T2--- DSingle Family Gbdustrial Number of Fixtures: Bathtub Disposal Whirlpool Dishwasher Lavatory Sump Pump Toilet Ejector/Grind -L Res. Sink Water Softner Bar Sink Local Waste Water Heater Clothes Wshr o Gas 0 Elect 0 PwrVnt Bidet Shower Beer Tap Floor Drain Classrm Sink Lndry Tray Surgeons Sink Lab Sink Breakrm Sink Plaster Sink Dip Wen Sterilizer Hose Bibs Misc. Fixtures Electric Contractor DrinkFtn Catch Basin Wait.St. Wash Ftn Ice Chest Urinal Exam Sink Gar Drain Sculry Sink Soda Disp Hand Sink Coffee Maker F Prep Sink Comm. Ice Maker Serv Sink Site Drain Int Grease Trap Roof Drain Ext Grease Trap Standp Rec R.P.Z. Valve Eye Wash Stn Shamp Sink Wtr Sewer Mtrs FlrlWst Sink Deduct Meters Wtr Usage Mtrs OR DElectric Installation Verification form attached (If Replacement) Use / Nature of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service n/05