HomeMy WebLinkAbout0126600-Plumbing (catch basin)
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OSHKOSH
ON THE WATER
Job Address 1602 INDIGO DR
CITY OF OSHKOSH No 126600
PLUMBING PERMIT - APPLICATION AND RECORD
Owner f'AULA MCRAE Create Date 09/05/2007
,
Category......,-r- industrial-Exterior (other) Plan
Contractor BERNDT EXCAVATING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature f1nstall catch basin
of Work
Shower
Floor Drain
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
Shamp Sink
FlrlWst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Wait. St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
EjectorfGrind
L
Size
Material
Conn. Type
Type
#
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1307310100
Valuation ___t12QQ.:.OO Plan Approval ___~~9] Permit Fees _~_~5.00 0 !~mit ~oided !
Issued By
Date 09/05/2007
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 holde s and to s c e an); ece ary approva before. tarting such activity.
Signature
t ~ ~""'-- 0 7
Date
AgenUOwner
Address 2527 W WAUKAU AVE OSHKOSH WI 54904 - 0000 Telephone Number 235-3331
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, VVI54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
(I)
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
VVisconsin 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 VVI
54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which
ever is greater.
OR
If YOU are a contractor vartic ivating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account n
** Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion. f'
J C"', r Q..! ,....")
Job Addre~ I, Ie 0).. .+: or '$ a Value (lnd,"" (,bu, ,;,,' mol"'",) fl 0(5-" Date ,'{- 0 -0 (
Owner f ",I.. I ",Cl ., 'v, J)~ Contractor 3~f " f, x' C;::01 v;f, .., '"
DSingle Family ~ DDuplex Multi-Family DRental DCommer'cial Dlndus'tflal
Number of Fixtures: -L
Bathtub Disposal Drink Ftn Catch Basin
Whirlpool Dishwasher 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
S teri I izer Hose Bibs Wtr Usage Mtrs
Misc.
Fixtures
Electric Contractor (for projectsnot reguiring an E! Form) ,
Use/Nature of Work 7 V}~lct ({ (o-.L~ ~ 1?9S-/ ~
Size Material Type #
Conn. Type
Sanitary Sewer
~ /r
~vc
Storm Sewer
VVater Service
07/07