HomeMy WebLinkAbout0124574-Plumbing
o CITY OF OSHKOSH No 124574
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 400-430 N KOELLER ST Owner DUMKE & ASSOCIATES LLC Create Date 05/03/2007
Category 440 - Industrial-Interior
Contractor E C MERRILL INC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest FlrlWst Sink
Lndry Tray Clothes Wshr Exam Sink Catch Basin
.Disposal 1 Bidet Sculry Sink Wash Ftn
Dishwasher 1 Beer Tap Hand Sink Urinal
Sump Pump Lab Sink Plaster Sink Standp Rec
Classrm Sink Sterilizer Surgeons Sink Ice Maker
Breakrm Sink Dip Well F Prep Sink Gar Drain
Ejector/Grind Drink Ftn Serv Sink Soda Disp
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
COMM I #430 Star Group - remodel office suite.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1611220000
Valuation
Issued By
$3,500.00 Plan Approval
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$0.00
$35.00 0 Permit Voided I
Date 05/03/2007
Permit Fees
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 1018 W SOUTH PARK AVE
Agent/Owner
OSHKOSH
WI 54902 - 6192 Telephone Number 235-3600
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.
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, Plumbi~g Permit Appli~atiion
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I her~by'apply for a permit to do and instaU the following plumbing on the premises herejnafter described, the work to conform to the
, Wisconsi~ State Plumbing Code, in the perfonhance of which aU parties hereto agree to and are bound by said statutes.
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· Apfilication(s) and fee(s) can be brought to City Hall, Room'Z05 or mailed to [Inspection Services, PO Box;1128,
Oshkosh WI 54903-1128. Commencing wo~k without permit(s) will result iI~ fees being doubled or $100.00 plus the
nbr~al pem!tit fee, which ever 'is greater.' ' :' :
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If vou alre a cdntractor participating in the ~ermit Fee Account S)I;tem and have adequate fUluls.check here
iLJ!.Qu Want this processed through )lour account n
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Job Address :4?o tJ KOli~';\-t.~ RP Value (Including labor and mate~ials) 850Ci. 0 0
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OwnbriiS'if\fL-R ft.,1t.oV~. ' ~oDtractori' L~~L M~~~
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OSingJe F~m~IY DDuple~ DMul,-Family DRental
NUnWe. of Filtur~: I
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Bathtub I Lndry Slandl> -L-
Whirlpool' ---L- Disposal --L-
LavatQry ! '+ Dishwa~her, ~
Toilet I ----L- Sump Pump _
Res. Sink I Ejectorf?ril1d,-t--
Bar Sirik i Ii Water S~ftner ----L-
Water iHeJter ---L- Local w,lIste I
o Gas O!Elect 0 PWrVnt . I
:,! Clothes Wshr
Shower j, ; I
,: ---r- Bidet
Floor Draip -..-L-
Lndry Tray
Lab Si~k !
, --r-
PlasterSin~
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City ~fOshko~h i '
Inspectiob Seryic~s Division
POBox '1130 ~ .
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Oshkqsh~ WI >49p3-1130
Phon~: (~20) 236T5050
Fax: (920) 236-5084
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Beer Tap
Classrm Sink
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Sterilizer i
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Surgeons Sink
Breaklm Sink
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K~M.bVlkt-
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6li2'Plu't
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Electfic; Contr~ctor
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Use / ~~ture of Work
Size
Material
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Storm Se'Wer
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Water Sertice
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OJHKOJI--i
ON THI~ Vl/AT~'~
Date ("l~l 01
qJCommercial
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e,(3rs-... 6(Q d (]
Dlndu~trial
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D~nt. Oper,
DipWclJ
DrinkFtn
Shamp Sink
FlrfWst Sink
Catch Basin
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Wash Ftn'
Wait.S!.
Ice Chest
Urinal
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Exam Sink
Gar Dr"in
Sculry Sink
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Hand Sink
Soda Disp
Coffee Maker
F Prep Sink
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Serv Sink
i
r--
Ice Maker
i.---
Site Drain
In! Grease Trap
E~t Grease Trap
RP.Z, Valve
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Roof Drain
Standp Rec.
Eye Wash Stn
QB.
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DEJectric. IDs~allatioD Verification form attached
(If Replacement) , ,
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Type
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~or. Type
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7/03