HomeMy WebLinkAbout0124910-Plumbing (interior)
e CITY OF OSHKOSH No 124910
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 500-550 S KOELLER ST Owner RIVER VALLEY ONE LLC Create Date 05/15/2007
Contractor TOWER MECHANICAL SERVICES INC
Category 440 - Industrial-Interior
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Shower Water Softner
Floor Drain Local Waste
1 Lndry Tray Clothes Wshr
-
1 Disposal Bidet
Dishwasher Beer Tap
1 Sump Pump Lab Sink
-
1 Classrm Sink Sterilizer
-
1 Breakrm Sink Dip Well
Ejector/Grind Drink Ftn
Wait. St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
Shamp Sink
FlrlWst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Interior plumbing in tenant space 510, per plan approval.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
0611620000
V,'o"'on c;$~p"n App",vo'
Issued By ,
$0.00 Permit Fees
$42.000 Permit Voided I
Date OS/22/2007
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 rl11it application within an easement, the City strongly urges the permit applicant to contact the
easement hol r(s) and to c re any' neces ary approvals before starting such activity.
Signature
Agent/Owner
OSHKOSH
WI 54903 - 2552 Telephone Number 426-3005
Address PO BOX 2552
Date
o/z~ft7
/ '
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 sp'ecified 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.
. ,<l
"
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
~
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Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, 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 broughtto City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
I ou are a contractor artici atin in the Permit Fee Account S
if YOU want this processed through your account n
- S-CX1 .- S'YO -" ' ,R.-#<'/ / er ....
Job Address.5/tJ S"ulIl ".t,$L.Le;( Value (Includingla~teriaIS) ~ 100
Owner GIrl h;tJ/MiC/8J.-. Contractor /O~4'/Z.. #/~;c~)CJ'1L
DSingle Family DDuplex DMulti-Family DRental ~Commercial
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
AI
x:l
Res. Sink
XI
Water Heater . ~ \
o Gas 0 Elect 0 PwrVnt
Bar Sink
Shower
Floor Drain
Lndry Tray
rLab Sink'
Plaster Sink
Sterilizer
--.LL
Electric Contractor
Use/ Nature of Work
Sanitary Sewer
Storm Sewer
'N ater Service
Date...$" ~ I A:> 7
, ,
$ ~IIICtS" .s
Dlndustrial
Lndry Standp Dent. Oper. Shamp Sink
Disposal Dip Well Flr/Wst Sink
Dishwasher DrinkFtn Catch Basin
Sump Pump Wait.St. Wash Ftn
Ejector/Grind Ice Chest Urinal
Water Softner Exam Sink Gar Drain
Local Waste Sculry Sink Soda Disp
Clothes Wshr Hand Sink Coffee Maker
Bidet F Prep Sink Ice Maker
Beer Tap Serv Sink -K-1 l1e Drain ~J
f) It- tP A-7lS/t., II t/HJa
Classnn Sink Int Grease Trap Roof Drain
Surgeons Sink Ext Grease Trap Standp Rec
Breaknn Sink RP.Z. Valve Eye Wash Stn
OR
DElectric Installation Verification form attached
(If Replacement)
Size
rJStt>O
.J/
'::t' IStJ,ac
~
Material
Type
#
Conn. Type
7/03