HomeMy WebLinkAbout0126154-Plumbing
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OSHKOSH
GiN THE W A TEj}t:>/b
Job Address ~HEMLOCK CT
CITY OF OSHKOSH
No
126154
PLUMBING PERMIT - APPLICATION AND RECORD
2
1
Owner PORTSIDE BUILDERS Create Date 08/0
Category 410 - Residential-I nterior Plan
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest FlrlWst Sink Int Grease Trap
Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Bidet Sculry Sink Wash Ftn RPZ Valve
Beer Tap Hand Sink Urinal Eye Wash Statn
Lab Sink Plaster Sink Standp Rec 2 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
Contractor SBS PLUMBING LLC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
1 Shower
1 Floor Drain
4 Lndry Tray
3 Disposal
1 Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Gri nd
2 silcocks
1
1
1
NSFRI Interior plumber with power vent water heater. "A" value is 28.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1282001406
Valuation
Issued By
$9,125.00 Plan Approval
$0.00 Permit Fees
$161.00 D Permit Voided I
Date 08/08/2007
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
WI 54904 - 7784 Telephone Number 920-410-5933
Address 4635 RED FOX RD
Agent/Owner
OSHKOSH
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.
'"
..
,
City of Oshkosh
Inspection Services Division
POBox 1130
Osbkosb, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
~
OIHKOfH
ON THe WATeR
Plumbing Permit Application
Disposal
Dishwasher
Sump Pump
E""~
Water Sonner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Oassrm Sink
Surgeons Sink
BreaknnSink
Dip Well
Hose Bibs
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter descn'"bed" 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
o are a contractor artici atin in the Permit F
ou want this rocessed throu h our a count
~O/ t., ~ 1tI;::r;t;f~'U/:':~
Job Address U(\.\ r-'} E"J3ewrJ I.hlle..r Value(IncludinglaborandmalCrials) q,lzs,oo Date 7/26/tn
Owner P(l('t5,~e. Contractor 5Bs ~ltAMhi'''j Ltc.
OSsingle Family D>>uplex OMulti-Family []Rental DColllDlereial DIndustrial
\
I
I
DrinkFtn CaIl:h Basin
Wait. St Wash Ftn
Ice Chest Urinal
Ex2m Sink Gar Drain
ScuJrySink SodaDisp
Hand Sink Coffee Maker
F Prep Sink Comm. Ice Maker
Serv Sink Site Drain
Tnt Grease Trap Roof Drain
Eltt Grease Trap - Standp Rcc .A-
-
RP..z.. Valve Eye Wash Sin
Shamp Sink Wtr Sewer Mtrs
FlrlWst Sink .--
Deduct Meters
Wtr Usage Mtrs
---L-
-
.--.
'"Z...
Size
Material
Number of Fixtures:
Bathtub -L-
Whirlpool I
LaV$]ry -1-
T0I1et ~
Res. Sink -L
Bar Sink
-
Water Heater -L-
f(Gas 0 Elect ~PwrVnt
Shower ~
FlOl,lT Drain -1-
I.ndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Electric Contractor
OR OEleetric Installation Verification form attached
(If Replacement)
Use J Nature of Work
Sanilmy Sewer
Storm Sewer
Water Service
Type
#
Conn-
CEIVED
JUL 3 0 2007
DEPARTMENT OF
C MMUNITY DEVELOPMENT
mON SERVICES DIVISION