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Home My WebLink About0123938-Plumbing (interior) ~e" CITY OF OSHKOSH No 123938 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1020-1142 S KOELLER ST Owner KOELLER ONE LLC eate Date 03/26/2007 Contractor J RASMUSSEN PLUMBING INC Category 440 - Industrial-Interior Shower Water Softner Local Waste Clothes Wshr Bidet Beer Tap Lab Sink Sterilizer Dip Well Drink Ftn Shamp Sink FlrlWst Sink Catch Basin Wash Ftn Urinal Standp Rec Ice Maker Gar Drain Soda Disp Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Wait. St. Ice Chest Exam Sink Sculry Sink Hand Sink Plaster Sink Surgeons Sink 2 F Prep Sink Serv Sink 1 2 Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature Space 1060 S Koeller "Goosebumps Ice Cream" interior plumbing. of Work Floor Drain Lndry Tray Disposal Dishwasher Size Material # Conn. Type Type Sanitary Sewer Storm Sewer Water Service Valuation $5,000.00 Plan Approval $0.00 Permit Fees $42.00 0 Permit Voided Issued By 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 wo described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement holder( ) and to cure any necessary approvals before starting such activity. Signature Agent/Owner OSHKOSH WI 54904 - 0000 Telephone Number 20-233-6747 ~ Address 1914 GREENBRIAR TRL Date Pan Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Parcelld # 1308490000 Date 03/26/2007 3--J. ('- () ) To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Per it Number, Type of Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), y ur Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is re. eived. Work may continue if the inspection is not performed within two business days from the time the project is read . City of Oshkosh r Inspection Services Division POBox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 ~ ifHKOfH ON THE WATER Plumbing Permit Application I hereby apply for a pennit 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 bo d by said statutes. . Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Se ices, PO Box 1128, Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being do bled or $100.00 plus the normal permit fee, which ever is greater. OR I ou are a contractor artici atin in the Permit Fee Account S ifvou want this processed throuzh vour account n Job Address /0 /;6 jc{)J., //~ , Owner B...e.-!~JJ Value (Including labor and materials) ..)b 'J 0 ,f! 0 Contractor ( / It- .5 All c.c. j f ~ Date 3-20-0) (J ( .:p "'- C DSingle Family DDuplex DMulti- Family DRental ~ommercia Dlndustrial Number of Fixtures: Surgeons Sink Breakrrn Sink Dip Well Hose Bibs .2. DrinkFtn Catch Basin Wait.S!. Wash Ftn Ice Chest Urinal Exam Sink Gar Drain Sculry Sink .-L 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 RP.Z. Valve Eye Wash Stn Shamp Sink Wtr Sewer Mtrs Flr/Wst Sink Deduct Meters Wtr Usage Mtrs Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures ~ Disposal Dishwasher Sump Pump Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Classrrn Sink Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater o Gas 0 Elect 0 PwrVnt Shower Electric Contractor OR DElectric Installation Verfication form attached (If Rep lacemen t) Use / Nature of Work .:;:;'VL ~ s,,<p (cJ I- :Jl/p-tr r Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service n/05