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O'SHKOSH
ON THE WATER
Job Address 3729 OREGON ST
CITY OF OSHKOSH
No 124094
PLUMBING PERMIT - APPLICATION AND RECORD
Owner FOX VALLEY TECHNICAL COLLEGE
'reate Date 04/04/2007
Jlan Y1-243-0407-P
Contractor VAN HANDEL TOM CORP
, - -
Shower Water Softner Wait. St. Shamp Sink Coffee Maker
- - - - - -
Floor Drain Local Waste - Ice Chest FlrlWst Sink Int Grease Trap
- - - - -
Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
- - - - - -
Disposal Bidet Sculry Sink Wash Ftn RPZ Valve
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'; ."~,.., .:'- ',' .... .,-. ^ . 0- .'.co"-- .'-'--',- 'Eye WashStatn
- Dishwasher Beer Tap Hand Sink Urinal
- - - - - -
Sump Pump Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
- - - - - -
r Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters
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Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
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Ejector/Grind Drink Ftn Serv Sink Soda Disp
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3 STORM INLET DRAINS
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INSTALL STORM AND SANITARY SEWER AND POTABLE WATER SERVICE FOR NEW "FABTECH TRAINING CENTER"
"
Size Material Type # Conn. Typel
Sanitary Sewer 4" Plastic Lateral 1 New
Storm Sewer 8" Plastic Lateral 1 New
I
Water Service 6" Plastic Lateral 1 New
Parcel Id #
14136881
Category 430 Industrial Exterior (laterals)
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heate
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
$10,000.00 Plan Approval
$0.00 Permit Fees
$171.00 0 Permit Voided I
Issued By
Date 04/05/2007
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. r
While the City of Oshkosh has no auth ty to enforce easement restrictions of which it is not a party, if you perform the w rk
described in this permit application wi I an easement, the City strongly urges the permit applicant to contact the
easement holder an to re an ecessa approvals before starting such activity.
Signature Date
AgenUOwner
0/)5/0)
Address 1830 E EDGEWOOD DR APPLETON WI 54913 - 0000 Telephone Number 920-735-1221
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Penil,it Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), ytur Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is rliceived. 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
(t)
CDfHKOfH
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 bord by said statutes.
. Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection sejces, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) win result in fees being dodbled or $100.00 plus the
normal permit fee, which ever is greater. l
OR
If yOU are a contractor participatinJ! in the Permit Fee Account System and have adeq ate funds, check here
ifvou want this processed throuJ!h your account n i
Job Address '3~:J<J Ch;~c:.l-l Value (Including labor and materials) !D/OO(.)d'Y Date Lf/ SJ tJ-?
Owner nJ< UQ 1/ ''7 T;.~ Contractor Ie M U ~ f:/alJ'?/1 CUI'AJ
. I (
DSingle Family DDuplex DMulti-Family DRental DCommercia ' DIndustrial
Number of Fixtures:
Plaster Sink
Sterilizer
Misc.
Fixtures
Surgeons Sink
Breaknn Sink
Dip Well
Hose Bibs
DrinkFtn Catch Basin ...L
Wait. St Wash Ftn
Ice Chest Urinal
Exam Sink Gar Drain
Sculry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Cornm. 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
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
o Gas 0 Elect 0 PwrVnt
Shower
Floor Drain
Lndry Tray
Lab Sink
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Electric Contractor
OR
[]Electric Installation ,v em, I" fication f~rm attached
(lfReplacement)
Use / Nature of Work
Size Material Type # Conn. Type
Sanitary Sewer '-/ gD~ /..jo /4f(ltll! J ~vJ
Storm Sewer 8"'.-' JcJ,. 3) ~",./- &,i..i ~ll / pJ"V
Water Service b c- 900 /~r~1 } ~evJ
'()f.{fJ7 "p
# .r'1 -I 'f ~ n/os
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