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