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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 ~ OfHKOfH 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