HomeMy WebLinkAbout2007-Plumbing (2 sump pumps)
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OSHKOSH
ON THE WATER
Job Address 1795 WEST POINTE DR
Contractor D R GLAZE PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature OMM / REPLACE 2 SUMP PUMPS **check #4198
of Work
(4
CITY OF OSHKOSH
No
124140
PLUMBING PERMIT - APPLICATION AND RECORD
Shower.
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner MICHAEL G/HOLL Y BELL Create Date 04/09/2007
Category 440 - Industrial-Interior Plan
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest FlrlWst Sink Int Grease Trap
Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Bidet Sculry Sink Wash Ftn RPZ Valve
Beer Tap Hand Sink Urinal Eye Wash Statn
2 Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Sterilizer Surgeons Sink Ice Maker Deduct Meters
Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Drink Ftn Serv Sink Soda Disp
.
Size
#
Conn. Type
Material
Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0611490200
$0.00 Permit Fees
$25.00 0 Permit Voided I
Valuation $930.00 Plan Approval
Issued By ~
Date 04/09/2007
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) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
OSHKOSH
WI 54904 - 6873 Telephone Number 920-589-4014
Address 1865 JAMES RD
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.
Cily of Oshkosh
TnspochOl\ 1Wr.'i<;cs Dt\..;sion
POBox t J ;to
Oshkosh. WI 5.ttKH-1130
Phol1C: (91(l) 23(,..5050
hlX: (920) 236.5084
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Plumbing Permit Application
I hereby apply for.a "emut to do and il1staJJ die fotlowi ng pJun1bing on I he: prcmlsa. hcreimflcr described Ox: werk to confOlTlI to IJtC
Wisrous!t1 State Plumbing Code. in the performance af which aU patties hereto agt(:(; 10 and. arc bound b! said statute:;
. Application(s) and feefs) can be brought to Cily HafL Room ZOoS or mailed to lnspeaion Services. PO Boll f 128.
Oshkosh wr 549(}!.112~t Commencing work wUbout pcm1il(s) wtu result in roes being doubled Qf SJOO,OO plus dte
n0rm11 p~1111i1 fue, which ever is greater,
OR
!LY.!l./J are a cOillrQr:lm' partic:ipl1linJ! in Ibe ee~mil Fee f.1r.fJll!.!,1 ~"l'~L~m .l!!Jcf have adc>t1ualli fNml.~~.f.lf{!C"'k here
Ii veil K'l1tltihi.~ P!!!~~e~ Ihr!~u~h ~!U~!:!!!:~~ Q_
I' ^ a d/
Job A ddrers J..1.'tS:::. .JAJ.~'1f!?f~ F- Value (il...ludill/r I.or ami mattrillt..) . ( :50 ,-
~nu h~l b'C:3rG-J S'TU.t)rp CbiMra.:\w ....1r.rc . (;~'r~ fL:rzG
OSingle Fa..ily DDuple.. OMult....'alllily DRenu. C?16mmnrial
Date 'f / S-/o( ~
Otndll8tria1
Number of Filtures:
'omnlp ~
~
l)r!nt Flu
~.llit ~'t
...u~'t,t.-A
F.llum 1;ink
5<..ull)" Sink
J )"00 Sink
1<' ~Smk
Strv Sin$..
Catch lh.'>lft
W"iJtfl'!
llathfub
~'l',"rw-,.ll
l~
lJishwash;;r
TI ~~...1.ttJ
\ ~~~_\
Si'",w~r
Plonr J),'ain
nj~""-
l-k'clr Tlljl
C~Sink
Sllrll/-......: Sink
Hr..>aknn Si~
1);9 Wcll
11 ,-.s;d-1it,~
fnl {h'.'"....: Ttllp
I::xt (j,-"'Il'>r Tr,~
Jl'.r.l.. Vall'",
ShM'll!1 SiIlk
Hr.iW~t Sillk
Oar Ix..
N.~(ja Vist>
~:~Ji:z Mltk,,~
CllImll. il-~ Malc:r
Site Dtllin
~Ot.t/' lJr~in
Toiler
Res. Sir.k
'F.j..,,(,)I"f("J'I'ind
W..lel' SnHtlllr
W.lwr ll;;;lter
n r._ -: fk'Cl f1 PwrVI~t
LI.'CJll Wll~'k
CloJelJcs W.
RM$illk
~"J~.
Lab Sink
1'1a.'il.~ Sink
Ma.Hlp R~\
F.,.~ W...J.Stn
Wl1 Stwa- MITli
lkdutt \ f~t~r~
SlcTiliz<:'
\!i~.;',
Wtt t ~8c 1\.ftrs
N:....urc!>
Sil'.t
DEJectrie IostaJlaUon VerificatioJI form att8thed
<If Rel"!.."..mr.nl J
r;!tf~bJ._~~ ~.s..__..~ Jao- s't~ -
Conn. yyp;,-\
j
OR
Ele.ctrk CODtrador
Use I NatUl'e ofWOI"k
r~ Sew.,
[ Slonn Sewer
! Water Sen..k;e
Mmcrial
Type
#
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