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Home My WebLink About0124439-Plumbing (Remodel) e OSHKOSH ON THE WATER Job Address 1003 N MAIN ST CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD No 124439 Owner CHARLES J/GERALD BINNERlJANA FRANK Create Date 04/02/2007 Contractor FORREST PLUMBING LLC Category 440 - Industrial-Interior Plan FIL-245-0407-P Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature Remodle plumbing for new occupancy - include interior grease trap for scullery sink wash compartment. ***Debit Account of Work Valuation Issued By Shower Floor Drain 1 Lndry Tray 1 Disp()sal, Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Hose Bib Water Softner Shamp Sink Flr/Wst Sink Catch Basin Wash Ftn Urinal Standp Rec Ice Maker Gar Drain Soda Disp Wait. St. Ice Chest Exam Sink Sculry Sink 'H~r;d' Si;;;k Plaster Sink Surgeons Sink F Prep Sink Serv Sink 2 Local Waste Clothes Wshr Bidet ';'.'." ';,-"" .".~,~" ".",'., ~ ..~ .': .~.. , Beer Tap Lab Sink Sterilizer 1 ~ 2 ....,.,'-;-_.,.... . Dip Well Drink Ftn Size Material Type # Conn. Type Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve 'Eye WashSt~tn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Parcelld # 1006700000 Date 04/26/2007 Sanitary Sewer Storm Sewer Water Service $5,000.00 Plan Approval $0.00 Permit Fees $77.00 D Permit Voided I 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 Agent/Owner LARSEN WI 54947 - 0000 Telephone Number 920-836-3986 Address 5210 N LOOP RD Date To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (Le. 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. Apr 26 07 11:11a , ~ FORREST PLUMBING 920-836-3986 p.5 City of Oshkosh Inspection Services Division POBox 1130 Oshkosh, WI 54903-1130 Pbone:(920)236-5050 Fax: (920) 236-5084 ~ OJHKOfH :J~: --li= ....'Alr~ Plumbing Permit Application I hereby apply for a pennit to do and install the following plumbing on the premises hereinafter <lescribed, the work to conform to the Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes. · Application(s) and fee(s) can be brought to City Hall. Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI 54903-1128. Commencing work without pennit(s) will result in fees being doubled 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 .~tem and have ade ou want this roces.o;ed throu II your account Job Address / bD~ --.-: . Owner I -e. r r DSingle Family Number of Fixtures: Bathtub Whirlpool Lavatory' Toil~t Res. Sink Bar Sink -L ---1- Water Heater -L ~llS J Elect U PwrVnt Shower Floor Drain Lndry Tray Lab Sink Plaster Sink SIc:riJizer Misc. Fixtures ~ Electric Contractor Use I Nature of Work Sanitary Sewer Storm Sewer Water Service rj rllutn stYeeJ-- Value (lnC!Udinglaborandmaterialsd'SUDo UU Date ~117 J 0 -:] 8 e ck: Contractor Fa n::fc,rlYt u. f\" h 1\ J LL ( / t~ 1aQ'rarfS"r DDuplex OMuIa-Family DRental ~ommercial Dlndustrial Disposal DrinkFtn Catch Basin Dishwasher Wait. St. WashFtn S\IIllP Pump Ice Chest Urinal Ejector/Grind Exam Sink AI""!.l'\Y Gar Drain Waler Soflner SculrySinkj Cc;;"'~ -L Soda Disp Local Waste Hand Sink 4- Caffee Maker Clothes Wshr F Prep Sink CQffiII'l. Ice Maker Bidet Sc:rv Sink X Site Drain Beer Tap In! Grease Tlap RoofDrnin CJassrm Sink Ext Grease Trap Slandp Rec Surgeons Sink R.PZ. Valve Ey~ Wnsh Sin Brcakrm Sink Shamp Sink WlrSewc:rMtrs Dip Well FlrlW sl Sillk Deduct Metcr:s Hose Bibs -t- W!l' Usag~ Mtrs OR []Electric Installation Verification form attacbed (If ReplacemCtlt) K.e VY: 0 del' 1'\ Size Material Type # Conn. Type ll/C5