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