HomeMy WebLinkAbout0126672-Plumbing
e
OSHKOSH
ON THE WATER
Job Address 302 HUDSON AVE
CITY OF OSHKOSH
126672
No
PLUMBING PERMIT - APPLICATION AND RECORD
2 Shower
Floor Drain
2 Lndry Tray
2 Disposal
1 Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner PIE INVESTMENTS LLC Create Date 09/10/2007
--~----~---"
Category 410 - Residential-Interior 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 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 KOCH PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
tFR /Interior remodel.
I
L________
**DEBIT ACCT**.
I
\
J
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0403510000
$6,000.00 Plan Approval
-----~
____~_o,oo
Permit Fees
___~-6~.00 0 Permit '{~~~ciJ
Date 09/10/2007
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
Agent/Owner
OSHKOSH
WI 54902 - 7040 Telephone Number 920-231-6661 or 235
Address 2005 DOTY ST
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.
i
'p 10 07 ~ 09: 48a
,
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Clarence Koch
(920) 235-0282
p. 1
.~
OfHKOfH
ON THE WATER
I hereby apply for a pernrit to do and inStall the following plumbing on the premises hereinafter descnoed, 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.
(i~
.~
Plumbing Permit Application
. 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. Cormnencing work without pennit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
[ in the Permit Fee Account S stem and have ade uate unds check here
i our account
Job Address 30 2 ;6&.$'0ti,.;--- Value (Including labor and materials) 0- 000 Date 1-1t:J-07
;
/I ... J1/ At........ '7"r. 1/'>"" /' / / L.--~,/.-
Owner t;ot//)/).hAd /RA'/V/?.;;;;,Y",.y::.j !,--ontractor "L/LIf / .."./:.:.;&/
~Single Family DDuplex DMulti-Family DRental DCommercial Dlndustrial
Whirlpool
lavatory
Toilet
z-
~
-L
Water Heater -L
JitGas 0 Elect 0 PwrVnt
Shower
Res, Sink
Bar Sink
Floor Drain
Lndl)' Tray
lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Electric Contractor
Use I Nature of Work
Disposal DrinkFln
Dishwasher WaiL St
Sump Pump Ice Chest
Ejector/Grind Exam Sink
Water Softner Sculry Sink
Local Waste Hand Sink
Clothes Wshr -L FPrep Sink
Bidet Scrv Sink
Beer Tap IntGreaseTrap
Classnn Sink Eltt Grease Trap
Surgeons Sink R.P.z. Valve
Brealam Sink Shamp Sink
Dip Well FlrlWst Sink
Hose Bibs
-'--
Wash Fm
Urinal
Gar Drain
Soda Disp
Coffee Maker
Comm. Ice Maker
Site Drain
Roof Drain
Standp Rec
Eye Wash Sm
Wtr Sewer Mtn
Deduct Meters
Wtr Usage Mtrs
OR . DElectric Installation Verification form attached
(lfReplacement)
Size
Material
Type
#
Conn. Type
1//~/J/ .c;/....;.-
t:-.l_-~V'r-c"... -
!.~. ("'/~~,:::':~0 /":';;';/,...C.
A~ .,':' .::;:/,..' .,> l' ':~';;' - .;;2<" o' ^
__ . " .", ,'-c' c-. ." .. ..
.:~~ ..../.0' ,. ..;.;.~, .",; '-
/.~: .:://;"~"",.::;.:;::, ;t'--:::"
Sanitary Sewer
Storm Sewer
:\f'Y
\'l>\t\t
Water Service
n/05