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Home My WebLink About2007-Plumbing G CITY OF OSHKOSH No 125838 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER , Job Address 3285 S WASHBURN ST Owner BERGSTROM FOX VALLEY INC Create Date 07/18/2007 Contractor HURCKMAN MECHANICAL INDUSTRIES, INC. Category 440 - Industrial-Interior Bathtub Shower Water Softner Wait. St. Shamp Sink Whirlpool Floor Drain Local Waste Ice Chest FlrlWst Sink Lavatory 2 Lndry Tray Clothes Wshr Exam Sink Catch Basin - Toilet 2 Disposal Bidet Sculry Sink Wash Ftn Res. Sink Dishwasher Beer Tap Hand Sink Urinal Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain Roof Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp Misc. Fixtures Use/Nature .Interior remodel. of Work Plan Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Size Type # Conn. Type Material Sanitary Sewer Storm Sewer Water Service Valuation $7,900.00 $0.00 $42.00 D Permit Voided I Permit Fees Plan Approval Issued By Parcelld # 1365010000 Date 07/18/2007 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 Address POBOX 10977 Agent/Owner GREEN BAY WI 54307 - 0977 Telephone Number 920-499-6984 EXT 1 Date 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/of Oshkosh Inspection Services Division 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 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 brought to 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 If vou are a contractor participating in the Permit Fee Account System and have adequate funds. check here if yOU want this processed throuzh your account n Job Address 1;/;>5 5.. LJ~S'fll>tJR.N /{vt. Value (Inc1UdinglaborandtnateriaIS)4. ~ 9(0' ,,'0 Date 7-Jl- 07 Owner 13~RJ.s-("teom - UC>N"DJ. Contractor In lttON C.nA1SlF-v<:.-r; OlD DSingle Family DDuplex DMulti-Family DRental ~mmercial DIndustrial Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater o Gas 0 Elect 0 PwrVnt ~ /;L Disposal Dishwasher Sump Pump Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Classrm Sink Surgeons Sink Breakrrn Sink Dip Well Hose Bibs -L Drink Ftn / Catch Basin 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 RP.Z. Valve Eye Wash Stn Shamp Sink Wtr Sewer Mtrs Flr/Wst Sink Deduct Meters Wtr Usage Mtrs Shower Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Electric Contractor OR DElectric Installation Verification form attached (If Replacerpent) Size Material Type # Conn. Type Ii- ?/t5tf8 17"~~ tJ d ~05 Use I Nature of Work Sanitary Sewer Storm Sewer I Water Service