HomeMy WebLinkAbout2007-Plumbing (toilet)
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OSHKOSH
ON THE WATER
Job Address 3450 VINLAND ST
CITY OF OSHKOSH
No
124902
PLUMBING PERMIT - APPLICATION AND RECORD
Owner WISCONSIN INDEPENDENT CHRISTIAN SCHC Create Date OS/21/2007
Contractor D R GLAZE PLUMBING
Shower
Category 440 - Industrial-Interior Plan
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest Flr/Wst Sink Int Grease Trap
Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Bidet Sculry Sink Wash Ftn RPZ Valve
Beer Tap Hand Sink Urinal Eye Wash Statn
Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Sterilizer Surgeons Sink Ice Maker Deduct Meters
Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Drink Ftn Serv Sink Soda Disp
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature COMM / REPLACE TOILET IN GIRL'S LOCKER ROOM (3rd stall from entry door) "check #4214
of Work
Valuation
Issued By
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
EjectorfGrind
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1250170100
~
Plan Approval
$0.00
$25.00 0 Permit Voided I
Permit Fees
Date OS/21/2007
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
Agent/Owner
OSHKOSH
WI 54904 - 6873 Telephone Number 920-589-4014
Address 1865 JAMES RD
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 or Oshkosh
Tn!ipcchOl\ S'lt'licc!; I)",isi.on
p OBo,," IttO
~sh. \V(;~Y(\1.1130
rhollC: (920) 236-5050
FilX: (920) 236-5084
~
~
C. )/1 KC)/Fi
...... ...;.4;;:'~::~ -~ . .;.
Plumbing Permit Application
I bereby apply fOI a pemut tu do and install die following plumbing on the prct'rtl~ hcreinaf\crdcscribcd the wark to confOlm to !lle
Wist."lNwn State Plumbing CDde. in the performance of which.ail patties Den::to agree 10 and arc bound b~ said statutes
. AppJication(s) and fee(s) can be brought to Cily Hall, Room 20S or mailed to Inspection Services. PO DolL f 128.
Oshk<1sh wr 54003'.1128. Commencing wock without pcrrnil{s) will result in fucs being doubled QT $ 100.00 plus dtc
nomtal ptnl1it fuc, which ever is greater. "
OR
!LY.Qu are a conlradm' particiPDUTtJ! in Ibe !:t!rmiJ Fet! .!rE!l!.!,1 ~!!!..m..l!!JJ{ have adequate fumf.~....t..hel.'k here
/1 VON 'WqtIJ this PToce...:.ud IJJrou~h VOII' uccounw
JobAddrtfS 3l.{So ~1,.J.t:~
'()wner Ostl~ Cn-n:\SITA..\ ~~t.... Cbat'rat:\t>>
OSingl~ Family oOuple'! OMulti--~'amily
Value fi,a.:WlIg I_orand matfrillb.) f 1?1::;<:e.
Date ~/f7(2f.l;/f-
~:{(" G'-Aa- A.,~
ORe.g. ~mmenial
Otndustrial
Number of Fixtures:
w..ti...... H;.:.lter
n ('_ -, fk.-cl il PwrVrrt
LI.\cal W;Jil~
C;~ "'..
Ri~lo.l.
'ij,.'<!rTllp
t~Si1lk
I.>rlnl .'m
wlliT.~"l
'o.u ~'bt."A
t.lIum Sin!<
S,.-ulry Sink
J J-..uJ Sink
1" ~Smk
!krv Sire!.
Catcn lbsm
\\' ll;;h flf!
UJdhlub
WlnrlpooI
1 .~,..",1Jl)'
T"iic
I~I
lJishwash.:r
-1-
'tMmp 'hlit1P
f.j.e!,;r"r/f'...lnoJ
WaleI' S\lllll~r
. ~.>>a'
&:6, Sid<
Gar lXaM
N.,c\;1Vi\p
(:li4J:.:.t Mak.::'-
Cmnm. t,,~ Ullld
fl.Siuk
Sleriliz..:t
Snrg<-'Urll'l Sink
Hr..'llktm Sir6:.
Dip Wcll
11 ~"'ie l:liaJ!:
fill {in:l";: TtllP
Ex. u"ll';~ Tf.~
R'.P.l.. Valv.:
Sh.'\fl1I7 SUlk
l'lzfW;;1 Si.llk
Sire lbin
RlXi/'Ul'Ai"
Show~r
Fl"'l'r JXail1
f>!,."dp R~,
~.]~
lAb Smk
1'1a.<;!.~ Killk
F.,.'t7 W.sh SIn
Wl1 Stw<< Mer..
.i:kdllrt \ f..t"ffl'
WtdlJ<a-gc t.1trs
\li~c.
1't:'"\Ul'C1>
.....-----....--.--.........
[Ie-ctrre C9otnidor
OR
DEfeetrie Installation Verification form attached
{If R"fl'&:<=mf'Mt J
l~ Sewer
r Storm Sewer
1 Water Sen'ice
Sjl'~
Ma1Criat
Type
-#
(3~-d.JlL ~)
Conn. Tr~\
j
........---......-
Use I Nature of Work ~rd'v.cc ~.aCm;~~