HomeMy WebLinkAbout0124381-Plumbing (boiler)
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QSHKE>SH
ON THE WATER
Job Address 111 N MAl N ST
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner FIRST WISC NATL BANK OSHKOSH
Contractor GARTMAN MECHANICAL SERVICES
Category 450 - Industrial-Other
Bathtub Shower Water Softner Wait. St. Shamp Sink
Whirlpool Floor Drain Local Waste Ice Chest FlrlWst 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
124381
Create Date 04/24/2007
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Install RP valve to boiler chiller in mech. room on 6th floor. State Reg. 1.0. #649357.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer I
Water Service
Parcelld #
0100300000
Use/Nature
of Work
Valuation
$1,132.00 Plan Approval
$0.00 Permit Fees
$25.00 0 Permit Voided I
Issued By
Date 04/24/2007
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Address 520 W SOUTH PARK AV
AgenUOwner
OSHKOSH
WI 54902 - 6470 Telephone Number 920-231-5530
Date
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
~PR-20-2007 01 :10 PM
· ., City of Oshkosh :
... . "'....mo. Som. ce,s Di~iOn
POBox 1130
Oahkolllh, 'WJ 54.903-1H{)
.P.qone: (920) 236-5050
Fax: '(.920) 2S6~S084
P,01/03
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Plumbing Permit Appl~catJon
I heroby apply tor a pmnit to do and install the fo11cwiUi phlmbing on the p:t'etrI1$Cs hQ'Cmatter dmlen"bed, th WQ'l'k; tb lXlnfonr. to the
WiscotlSm Slate Plumbing Code, in the pcrfOItTlll.nce of which all psrties lweto a~e to and an: bound by ,I1iei S1a'Mc5.
· Applioation(s) and fec(s) can bo brought to City Hall, Room 205 or mailec'l.ro Inspection Services, PO Box 112B~
Oshkosh WI 54;03-1128. Commencmg work without pennit(a) will result in fcClB being doubted or $100.00 plus the
normal permit feel which cve::r is grea.tcr.. .
OR
. if:: ~: '~~;~::~;;:'f:t~f~o~:;c;:~' A"R~~' S,,"~ '; Am ad,..." (Un'" ,M,. Am
Job Add.ress . /// /1/, IJJ~,.;, S-/-. Value (!nCILlclin~lnbllT~dmatarl.ls) . J/3::9'co Date "j"Qo!o7
. , J
Own ex- es.I5~1,I1 A.. Contractor C';"frJ~ J In c '"
,
OSingle Family DDup)e~ OMUlti-F.mlly !]Rental UdCommerclal []Industrial
Number of Fixtures:
Blltht"b
WhlrIpoDI
~~
1'clll1t
Res. .!link
&m-'slnl::
-
l>i~l
Ollhwuher
Sump Pump
Ja;tClCt/Or:inr:1
WKIar SLIllnor
Lcc.Il 'iVlU:ta
Clolhllll W.:hr
Bidll(
B=T~
Clamn Sink
SIIl'J"cmli Siflk
Elnmlarn Slink
Dip WitH
.fitl~Q IMbr
Drlnk Pm
Walt. St.
Iw c:l1~BI
5;<Llm Sink
Sll\lh-y SlIlk
HP-ntl Sink
F Prep Sink
Serv SItlll'
Inl Grcu, Tl"lIp
BXll3n:Qo Q Tl1lp
R.l'.z, VIll'Y4
Shimp Sink
FIrIWQt Sink
...L
Cnlllh BailI
Waih Fin
Urinal
Oar Drain
SOU~ DiQ
CrllCtl~ Maksr
Curnm- ((!Ol M.ko:
Slw DrVti
Roof OnliJl
Slmrlp Rile
E)'ll WJIlin Stn
WIrS~MIr'iI
Dedllct Ml:1l=r5
Wtr UillBC Mil'S
-~-
W...ltII" Heater ~
o ODs. U Di",ctO J'wrVnt
ShOW\!!\"
Plal:l'l" Oratn
~ Tray
l.ab SInk
Pb.s1l;lr Sf.nk
. $mrlHIWl'
Mipe.
~
Electric Contractor
--
r'/tr
Use I Nature of Work
QJl . DElectric IOiltaIlation VerificRtioIl form attacbed
ru R.cpJaclmIcnt.)
~.s 4 II &. d: /Ii.-, /h"r,~.-t--
..
Size
Mater:ia.J
Type
#
COnti.. Typ~
SaciUUj' SewCT
Storm Sewer
Water Setvlce
n/o~