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HomeMy WebLinkAbout0126315-Plumbing (stage kitchen area) . CITY OF OSHKOSH No 126315 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 108 W NEW YORK AVE Owner OSH AREA SCHl DIST MERRill Create Date 08/17/2007 Contractor OSHKOSH AREA SCHOOL DISTRICT Category 440 - Industrial-Interior Bathtub Shower Water Softner Wait. St. Shamp Sink Whirlpool Floor Drain local Waste Ice Chest Flr/Wst Sink lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin Toilet Disposal 1 Bidet Sculry Sink Wash Ftn - Res. Sink Dishwasher 1 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 iNSTAll STAGE KITCHEN AREA IN CLASSROOM. 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 Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Valuation $1,000.00 Plan Approval $0.00 Permit Fees $25.00 0 Permit Voided I Parcel Id # 1500680000 Issued By Date 08/17/2007 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 PO BOX 3048 Agent/Owner OSHKOSH WI 54903 - 3048 Telephone Number (920) 424-0135 Date 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. ____.. ___....... ..~.~... ... n..... ......,~ 11I11IIlll n" (;.''.;I1n C'T-::.ill'tPCo City of Oshkosh Inspection Services Division P O'Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 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 I;~OU are a contractor particioating in the Permit Fee Account Svstem and have adequate funds, check here i_ _ou want this orocessed through vour account n ** Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted with the permit application. Applications submitted without an EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. /VI-crrt't( Ii:l.e, Job Address It>"i" w Pet...... \{"...k.. Value (Including labor and materials) I eJ(}CJ ~ ~~Jl/ /"JLI!S,IIAe; $ DRental ~Commercial Owner (!) ,A. ~. D. DSingle Family DDuplex s711GR Contractor DMulti- Family r.: II ~~ Date B - /7- "g ~'lO Q 1:1- Dlndustrial Number of Fixtures: Bathtub Disposal ~ Drink Ftn Catch Basin Whirlpool Dishwasher -L Wait. St. Wash Ftn Lavatory Sump Pump Ice Chest Urinal Toilet Ejector/Grind Exam Sink Gar Drain Res. Sink ~ Water Softner Sculry Sink Soda Disp Bar Sink Local Waste Hand Sink Coffee Maker Water Heater Clothes Wshr F Prep Sink Comm. Ice Maker o Gas 0 Elect 0 PwrVnt Bidet Serv Sink Site Drain Shower Beer Tap Int Grease Trap Roof Drain Floor Drain Classrm Sink Ext Grease Trap Standp Rec Lndry Tray Surgeons Sink R.P.Z. Valve Eye Wash Stn Lab Sink Breakrm Sink Shamp Sink Wtr Sewer Mtrs Plaster Sink Dip Well Flr/Wst Sink Deduct Meters Sterilizer Hose Bibs Wtr Usage Mtrs Misc. Fixtures Electric Contractor (for projects not requiring an EIV Form) Use / Nature of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service 07/07