HomeMy WebLinkAbout2007-Plumbing (rpz valve & hose reels)
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OSHKOSH
ON THE WATER
Job Address 3245 S WASHBURN ST
Contractor JT SCHMIDT PLUMBING INC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
CITY OF OSHKOSH
No 124945
PLUMBING PERMIT - APPLICATION AND RECORD
Owner BERGSTROM FOX VALLEY INC
Create Date 05/09/2007
Category 440 - Industrial-Interior
Plan Y2-252-0507-P
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest Flr/Wst Sink
Lndry Tray Clothes Wshr Exam Sink Catch Basin
Disposal Bidet Sculry Sink Wash Ftn
Dishwasher Beer Tap Hand Sink Urinal
Sump Pump Lab Sink Plaster Sink Standp Rec
Classrm Sink Sterilizer Surgeons Sink Ice Maker
Breakrm Sink Dip Well F Prep Sink Gar Drain
Ejector/Grind Drink Ftn Serv Sink Soda Disp
5 Hose reels
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
LATE PERMIT and LATE PLAN REVIEW/Install water piping and hose reels in service garage.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1365010000
$5,000.00 Plan Approval
$0.00 Permit Fees
$42.00 D Permit Voided I
Date OS/23/2007
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
AgenVOwner
COMBINED LOCK~WI 54113 - 0000 Telephone Number 920-788-7314
Address 419 S WASHINGTON ST
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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.
May. 18. 2007 9: 12AM
City of Oshkosh
Inspection Services Division
POBox: 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
inspection services
No.2716 P. 1
~
OfHKOfH
ON THE w",rER
Plumbing Permit Applicatiory
I hereby apply for a permit to do and install the following plmnbing on the premises hereinafter descnoed, 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 brought to City Hall, :Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without pemrit(s) win result in fees being doubled OT $100.00 plus fue
normal permit fee, which ever is greater.
OR
If yOU are a contractor particirJating in the Permit Fee Account S-xstem and have adequate funds. check here
if you want this TJrocessed through your account n
Job Address 3~ 4S S' LUA-SHf)LlIl,) Value (Inc1uliinglaborand materials/ ~O~:>~ Date 5',. 21 -0 '7
Owner ~~Y"- {1M:A:o Contractor J T SCtlY'h/'iP, PrP6 -1-1 ,)32&'~~
DSingle Family []Duplex DMnI ti-Family DRental ~ommercial DIndustrial
Number of Fixtures:
Bathtllb
Whirlpoul
Lavatury
TaiJ.:t
R\:~. Sink
Bar Sink
Water Heater
o Gas 0 E1t:ct 0 PwrVnt
Shower
Floor-Or~---:::;.:::.::.....__
Lndry Tray
tab Sin\<
Plaster Sink
Sterilizer
Misc.
Fixtures
Electric Contractor
Disposal
Dishwasher
Sump Pump
Ejcctor/('mnd
Watcr Sottncr
Local Waste:
Clotl\c~ Wsl1r
Bidet
Beer Tap
'C lassrm~::iniK
DrinkFtn Catch Basin
Wait.$t. W~h Ftn
lee Ch~ Urinal
exam Si"nJ<; Oar Orain
Scull}' Sink Soea Disp
~alld Sink Coffee Maker
F Prep Sink Conun. lee Mak~r
Scrv Sink Site Drain
1m Grease Trap Roof Drain
Ext Grease Trap --.T....~ Standp Ree
RP.Z. Valve Eye Wash Sin
Shamp Sink Wrr St:wt:r Mtn>
FlrlWst Sink Deduct MeteTo
WIT Usage MO'.~
Surgeons Sink
Dreaknn Sink
Dip Well
Hose Bibs
Use I Nature of Work
Pt~.v~l~
DElectric Installation Verificanon form attached
(If Replacement)
~-v ~. ~~5')
Size
Material
Type
#
COIlIl,. Type
Sanitary Sewer
Storm Scwer
Water Scrvice
H/OS