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OSHKOSH
ON THE WATER
Job Address 2800 N MAIN ST
Contractor JT SCHMIDT PLUMBING INC
CITY OF OSHKOSH No 124865
PLUMBING PERMIT -APPLICATION AND RECORD
Owner RABIN WORLDWIDE/DALE E BECKER Create Date 05/17/2007
Category 440 - Industrial-Interior
Plan
Bathtub Shower 2 Water Softner Wait. St. Shamp Sink Coffee Maker
-
Whirlpool Floor Drain 3 Local Waste Ice Chest FlrlWst Sink Int Grease Trap
-
Lavatory 4 Lndry Tray 1 Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
-
Toilet 5 Disposal Bidet Sculry Sink Wash Ftn 1 RPZ Valve
-
Re!.. Sink Dishwasher Beer Tap Hand Sink Urinal 2 Eye Wash Statn
Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters
SitE! Drain Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Roof Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp
Misc. 3 Trench Drain
Fixtures
Use/Nature
of Work
Whitefield/Chamco /Interior plumbing - phase 1. Plan #Y1-248-0507-P.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1519600301
Valuation
Issued By
$160,000.00 Plan Approval
~
$0.00 Permit Fees
$175.00 0 Permit Voided I
Date 05/18/2007
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
Address 419 S WASHINGTON ST
Agent/Owner
COMBINED LOCK~ WI 54113 - 0000 Telephone Number 920-788-7314
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.
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
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OfHKOfH
ON THE WATER
Plumbine Permit Am>lication
I hereby apply for a permit to do and install the following plwnbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the perfonnance of which all parties hereto agree to and are bound by said statutes.
Job Address Z. tito N- "/'141~ ~J(
Owner tuhtt<-ht,'tL ~~..~~
t(.)""k~c;
OSingle Family DDuplex DMulti-Family
Value (Including labor and materials) 16o;/)(JtJ Date
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DRental ~mmercial Dlndustrial
5) 6/en
Contractor
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper.
Whirlpool Disposal Dip Well
Lavatory ~ Dishwasher DrinkFtn
Toilet ~ Sump Pump Wait.St
Res. Sink Ejector/Grind Ice Chest
Bar Sink Water Softner Exam Sink
Water Heater -L Local Waste Sculry Sink
Shower 1- Clothes Wshr Hand Sink
floor Drain -.-:L Bidet F Prep Sink
Lndry Tray I Beer Tap Serv Sink
Lab Sink Classnn Sink Int Grease Trap
Plaster Sink Surgeons Sink Ext Grease Trap
Sterilizer Breakrm Sink --'-
..Jtt-lt\.U..~ %V1M.-&A- / ~~~ 11 ~
--'-
Shamp Sink
Flr/Wst Sink
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Rec
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Electric Contractor
Use / Nature of Work
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Size
Material
Type
#
COllil. Type
Sanitary Sewer
I
! Storm Sewer
! Water Service
L_
() Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh'
54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the n01l11al permit fee,
which ever is ~.;:tcr. R E CEO
Check here if you want this processed through your account
MAY 1 7 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
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