HomeMy WebLinkAbout0125036-Plumbing (catch basin)
. CITY OF OSHKOSH
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1944 W FERNAU AVE
Contractor HANNA EXCAVATING
No
125036
Bathtub
Whirlpool
Lavat.ory
Toilet
Res. Sink
Bar Sink
Water Heater
Site IDrain
Roof Drain
Misc.
Fixtures
Use/Nature INSTALL CATCH BASIN IN PARKING AREA.
of Work
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner HH&M LEASING LLC Create Date 05/30/2007
Category 431 - Industrial-Exterior (other) 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 1 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
Size
Material
Type
#
Corm. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1225200100
Valluation
Issued By Date 05/30/2007
$1,800.00 Plan Approval
$0.00 Permit Fees
$25.00 0 Permit Voided I
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 wit.hin an easement, the City strongly urges the permit applicant to contact the
easement holder( d to secure any essary approvals before starting such activity.
Signature Date S -.10 ' (;) :J
Agent/Owner
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.
OSHKOSH
WI 54904 - 0000 Telephone Number 235-6450
.,
city!b-f Oshkosh
Inspection Services Division
(i'
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
~
OfHKOfH
ON THE WATER
Plumbing Permit Application
I hereby apply for a pennit 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 brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) win 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
ifvou want this vrocessed throuzh vour account n
Job Address /7'Cf1
I~~
t ~ v Yalue (Including labor and materials) 'of c/e; 0 .
Contractor ~ /Vt Jt6/V\~
[)Multi-Family DReutal ~commerCial
Date :5-'-./~~ (/7
Owner
DSingle Family
DDuplex
DIndustrial
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
o Gas 0 Elect 0 PwrVnt
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
DrinkFtn Catch Basin L
Wait.St. Wash Ftn
Ice Chest Urinal
Exam Sink Gar Drain
Sculry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Comm. Ice Maker
Serv Sink Site Drain
Int Grease Trap Roof Drain
Ext Grease Trap Standp Rec
R.P.Z. Valve Eye Wash Stn
Shamp Sink Wtr Sewer Mtrs
FlrlWst Sink Deduct Meters
Wtr Usage Mtrs
Surgeons Sink
Breakrm Sink
Dip Well
Hose Bibs
Electric Contractor
OR
DElectric Installation Verification form attached
(If Replacement)
Use / Nature of Work
Material
Type
#
Size
Sanitary Sewer
Storm Sewer
IN ater Service
11/05