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HomeMy WebLinkAbout0126452-Plumbing G OSHKOSH ON THE WATER Job Address 601 W 6TH AVE CITY OF OSHKOSH No 126452 PLUMBING PERMIT - APPLICATION AND RECORD 2 2 Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Owner MARK W SHOWERS Create Date 08/24/2007 Category 440 - Industrial-Interior 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 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 Contractor O'NEILL ENTERPRISES INC Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature New Office Building of Work Valuation Issued By Size Material # Conn. Type Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 0601910000 $5,400.00 Plan Approval ~ $0.00 $63.00 D Permit Voided I Permit Fees Date 08/24/2007 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 AgenUOwner OSHKOSH Address 522 W 6TH AVE WI 54902 - 5916 Telephone Number 920-230-2007 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. ~08/24/2007 07:56 FAX 19202302008 City of Oshkosh Inspection Services Division POBox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 ONEILL ENTERPRISES 141 001/001 .... ........ .' ,,\t' -":'. : . "," .. . .. . :. ;':' .' ';i:v "\ '" ." ... .... .. ... .... .. ::.:.::....:.: . .. "'" .. ,"., .. ..'" 1." . .'< .:.-. ';,~., ",. .. ,. .. -,. ." - ., .... . . ,:. .,.-, .. ... '" .. . . . , .. .. , :.. ",:,':...' ,'.. . ... .. ':"CJD' ... .~ <. ... . ........ .... .. .. .. ...' . . .. ..". ','n.... . . .. .' ......... . ., '" .... ,.. .. .. " . - .... . . '..,. '. ". '"."'" . . . .. -, " ,"'" ...... ," ..,. . . '" ",. "" . , Plumbing Permit Application I hereby apply for a pennit to do and install the following plumbing on the premises hereinafter described, the work to confonn to the Wisconsin State Plumbing Code, in the perfonnance of which all parties hereto agree to and are bound by said statutes. · Application~) 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 pennit{s) will result in fees being doubled or $100.00 plus the nonnal permit fee, which ever is greater. OR ~ I in the Perm't E e Account S stem and have ade our account' check here ** Advisory - For applicable projects, an Electrical Installation Verlfication (EIV) fOmt, signed by the Electrical Contractor or Homeowner (for installations allowed to be pmonned 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 retumed for completion. #.. . Job Add.....' ff~ ~ Value 0"""''''' 1""" i' _i~') {:PIt)(), to , D. ate . 'g.J/h!f Owner LIt Contractor (j 'JJpd/ f)~{JA//JPA' Jf}Q. .' . '. DSingle Family DDuplex DMulti-Family DRental ~ommerCial D(..dustrial Number of Fixtures: Bathtub Disposal Drink Ftn Catch Basin Whirlpool Dishwasher Wait St Wash Fbl Lavatory ~ Sump Pump ---L Ice Chest Urinal Toilet 4- Ejector/Grind -L Exam Sink Gar Drain Res. Sink Waler Softner Sculry Sink Soda Disp Bar Sink Local Waste Hand Sink Coffee Maker ~eater ,--- Clothes Wshr F Prep Sink Corom. Ice Maker o Elect 0 PwrVnt Bidet Serv Sink --L Site Drain Shower Beer Tap Int Grease Trap Roof Drain Floor Drain -'- Classon Sink Ext Grease Trap Standp Rec Lndry Tray ~ Surgeons Sink R.P.Z. Valve Eye Wash 8tn Lab Sink Breakrm Sink Shamp Sink Wtr Sewer Mtrs Plaster Sink Dip Well FlrlWst Sink Deduct Meters Sterilizer Hose Bibs Wtr Usage Mtrs Misc. Fixtures Electric Contractor (for projects not requiring an EIV Form) Use I Nature of Work # Sanitary Sewer Stann Sewer ~s~ ~~ Water Service 07/07