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HomeMy WebLinkAbout2007-Plumbing o OSHKOSH ON THE WATER Job Address 1025 W 5TH AVE CITY OF OSHKOSH No 124175 PLUMBING PERMIT - APPLICATION AND RECORD , Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature OMM / REMODEL LADIES ROOM TO HANDICAP ACCESSIBILITY AND ADD 1 LAV IN THE MENS ROOM I""check #61593 of Work 2 1 Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Owner SACRED HEART CHURCH Create Date 01/22/2007 i Category 440 - Industrial-Interior Plan Water Softner Wait. St. Shamp Sink Coffee Maker Local Waste Ice Chest FlrlWst Sink lint 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 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 Contractor DRUCKS PLUMBING Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcelld # 0606630000 Valuation $2,045.00 Plan Approval Issued By (5yy)\ ~ $0.00 Permit Fees $25.00 D Permit Voided; I I Date 04/11/2007 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 Address PO BOX 355 MENASHA WI 54952 - 0000 Telephone Number I 426-2654 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), y6ur 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 .., , '- Plumbing Permit Application ~ OfHKOfH I ON THE WATER I I hereby apply for a permit to do and install the following plumbing on the premises hereinafter descnbe4, the work to conform to the Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are b?und by said statutes. . Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Sernces, PO Box 1128, Oshkosh WI 54903-1128: Commencing work withoutpermit(s) will result in fees being ddubled or $100.00 plus the normal permit fee, which ever is greater. ' OR If YOU are a contractor varticipatinf! in the Permit Fee Account System and have adequate funds. check here if YOU want this processed throuf!h your account n . Value (lnclucHng'laborand materials) ~ ~O 4S-'~: Contractor 'b1Lvc~'-L$ 'v\'v-..\;>\J h\ . . I DRental [;]Commercial Job Address I - 1.::- '..-). "". ,,-:, \ 'O.,;}. e, . v.:> = ". v ~ Owner SFte.."~i:) ~A-(l...1:"" DSingle Family DDuplex DMulti-Family Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater o Gas 0 Elect 0 PwrVnt Disposal Dishwasher Sump Pump Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Classnn Sink Surgeons Sink Breakrm Sink Dip Well Hose Bibs DrinkFtn Wait.St Ice Chest Exam Sink Sculry Sink Hand Sink F Prep Sink Se.rv Sink Int Grease Trap Ext Grease Trap RP .Z. Valve Shamp Sink FlrlWst Sink c:;.J --L Shower Floor Drain Lndry Tray Lab Sink Plaster Sink S teriIizer Misc. Fixtures --'- Electric Contractor OR . DElectric Installation V etification f~rm attached (If Replacement) I . Use I Nature of Work W 0''''':;::;'''> '.$ \t..~~-r tLon""- ... w\c_ . Size Material # Type Sanitary Sewer . Storm Sewer Water Service L~v J m~l-.)\~ - t' . Conn. Type Date '-\... ~ ..0; DIndustrial 1,.(...'1,,01 1'593 Catch Basin Wash Ftn Urinal Gar Drain Soda Disp Coffee Maker Comm. Ice Maker Site Drain Roof Drain Standp Rec Eye Wash Stn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs LA-v' 11/05