HomeMy WebLinkAbout0124797-Plumbing (meter)
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OSHKOSH
ON THE WATER
Job Address 2301 UNIVERSAL ST
Contractor GARTMAN MECHANICAL SERVICES
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner MULTI BLDG LIMITED LIABILITY CO
Category 440 - Industrial-Interior
Bathtub Shower Water Softner Wait. St. Shamp Sink
Whirlpool Floor Drain Local Waste Ice Chest Flr/Wst Sink
Lava1tory Lndry Tray Clothes Wshr Exam Sink Catch Basin
Toilet Disposal Bidet Sculry Sink Wash Ftn
Res. Sink Dishwasher Beer Tap Himd 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.
FixtUlres
No 124797
Create Date 05/15/2007
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Install 2" deduct meter serving RO Unit. gartman is not installing RO Unit.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1328640000
Use/Nature
of Work
Valuation
$4,000.00 Plan Approval
$0.00 Permit Fees
$25.00 0 Permit Voided I
Issued By
Date 05/15/2007
In the performance of this work, I agree to perform all work pursuant to rules goveming 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 d to e any necessary approvals before starting such activity.
Signature
s
Date '-':;:-15-0?
AgenUOwner
Address 520 W SOUTH PARK AV OSHKOSH WI 54902 - 6470 Telephone Number 920-231-5530
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 Secur~ (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.
.'
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax:. (920) 236-5084
~
OfRKOJH
ON l'1-lE WATER
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~.
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter descn'bed, the work to conform to the
Wisconsin State Plumbing Code, in the perl'onnance of which all parties hereto agree to and are bound by said statutes.
· Application(s) and fee(s) can bo 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 penuit fee, which ever is greater. .
OR
[(vou are a contractor llarticiTlatin~ in the Pllrmi! Pee Account Svstem and have adequate funds, check here
iLJ20U want this processed throuzh your ilccountn
Job Address ~ J () / U (III uEQs-f/l. l Value (IncllJdinghLbonndTlllltcrlals) o/(J1ff) {J eN
Ownel" IH u i.. T1 LI (2 c. vir/' Contractor &/J1 {'
DSingIe Family []Duplex []Multi-Family ORental DCommercial
Date:>-S: ~ o,/-
~ndustrial
Number of Fixtures:
Bathtub
Wlrlrlpool
Uvatory
Toilet
~.Sinl<
Bar Sin~
Water Beater
o Gns U Elect CI PwrVnt
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Suftner
LoCill W<l.!;t~
Clolhe~ W~hr
Bidet
B=Tap
ClasSZ'm Sink
Drink Ftn Clltch Basin
Wllic.St. Wash Ftn
Ice Chest Urinal
Exam Sink Gar Drain
Sculry Sink SOua Dil>ll
Hand Sinl<: Coffee Maker
F Prep Sink Camm. Ice Maker
Scrv Sink Sile Drain
Int GrclIse Trap Roof Drain
EX! Greasc Tmp Standp Rec
R.P .Z. Valve Eye Wash Stn
Shamp Sink Wtr Sewer Mlr5
FlrfWst Sink Deduct Mettr!; ~
Wtr Usage Mtrs
Shower
filDOT Drllin
Uu:lry Tray
I~Sink
Plas1l;:r Sink
$blriti:>.:cr
Misc-
rlXtUres
Surgeon~ Sink
B1'ealcrm Sink
Dip Well
Hese Bibs
l'
OR . DElectric Installation Verification form attacbed
(If Replacement)
Electric Contractor
Use I Nature of Work
I IV J'TA-/I )-
J),; Jt) LJ
/IA f(;:/2 tfJ;,J
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Ut0f!
Size
Material
Type
#
Conn, Type
Sanitary SewCT
Storm Sewer
Water Service
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