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Home My WebLink About2007-Plumbing e CITY OF OSHKOSH OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 3001 S WASHBURN ST No 126677 Contractor E C MERRILL INC Owner BFO FACTORY SHOPPES LLC Create Date 09/11/2007 Category 440 - Industrial-Interior Plan Water Softner Wait. St. Shamp Sink Coffee Maker 2 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 Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Shower Floor Drain 2 Lndry Tray 2 Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind F210 (DEB Store) /Interior alterations to combine spaces 210-230 into on tenant space. r Type. # Conn. Type Size Material Sanitary Sewer Storm Sewer Water Service Parcelld # 1329420000 Valuation ___17,900.00 Plan Approval ___ $0.00 Permit Fees __.----J56.OO 0 Permit Voided I Issued By a~ Date 09/11/2007 . 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 Address 1018 W SOUTH PARK AVE Agent/Owner OSHKOSH WI 54902 - 6192 Telephone Number 235-3600 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. l I I _I City of Oshkosh Inspection Services Division POBox 1130 Oshkos~;, WI 54903-1130 Phone: (920) 236-5050 Pux: (920) 236-5084 ~ .~ OJH-iKOJ!-j ON 'ThF WATER plumbing :Permit Application , " ,\i, " , ': :i i~-< I hereby apply for a permit to do and in~tatl the following plumbing on the premises hereinafter described; the ",,:ork to conform to the Wisconsin State Plumbing Code;' in theperformanc~ of which all parties hereto agree to and are bound by said statutes. . Application(s) and fee(s) can be ~rought to City Hall, Room 205 'or mailed to lr1spection Services"PO Box l128, Oshkosh WI 54903-1128. Com~encing work without permit(s)'will result in (ees being doubled pr $100.00 plus the normal permit fee, which ever is greater. .. i f . OR" !: . " ' ;; . ,i, . ." j l i r "You dre G_ con Ira cto rJia rtic ipa{i(!g in the Permit Fee A ccoli" ,-Svs tern a nd have adeq~!ll.g,JJM!liL~._!l.h..fc!i. herg it "ou want this nrocessed throughJLQJH" ac1counl n ','. 'i u_J_____~ : ,i . '.. "Vd!ZJ : ! s: tV ~1f8t/ /l..i! V al~e (Including labor and ma~eriaIS) 7. V- 0 0 bate 'tIt ~ If) '1 I' ' 'I,. ; <i'7"'?!.(U2 ______ Contractor c. ~. jrJ r2;/LiZI L <- I DDuplex : DMulti-Family DRental~ommercial Job Ad~ress 300 I 1>a-h DSingle Family Owner Numb~r of Fixtures: Bathtub Whirlpool Lllvalor~ Toilet Res, Sink Bur Sink Water Heater o Gns'\il' Elect J PwrVnt ~ 7- Shower: ; Floor Oioin lndry Tray Lab Sink. !>]lIster Sink Sterilizer .?- ; Electric Contractor Use I Nature of Work Sanitary' Sewer Storm Sewer Water Service i i; I' .1 (Jlndustrial Lndry Stnndp Disposal i , Dishwash;T Sump Puntp Ejector/Grind . Water Sortner Local Waste Clothes Wshr Bidet Seer rap I Classrm S~nk Surgeons Sink i Breakrm S'ink Dent. Oper. DipW~l1 Drink (ltn Wait. 51. Ice Chest Exam Sink Sculry Sink Hand Sink F Prep Sink Serv Sink Int Grease Trap Ext Grease Trap RP.Z. Valve Shan;p Sink Flr/W~t Sink ;! ---- Calcl] Basin Wash;, Ftn Urin~1 -:--~ Gar ))ruill SOda!nisp I Coff~e Maker Ice f\1aker Site Drain ~ JL , RoofOrain Standp Ree Eye Wash Stn ~ Vc..,/L' DElectric Installation V erifica~~on form attached! (If Replacement) QB <i i 17 c 5"'6 ~).~ Size Material , Type # I Conn. Type 7/03