HomeMy WebLinkAbout0126766-Plumbing
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OSHKOSH
ON THE WATER
Job Address 3200 ELK RIDGE DR
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner MIDWEST GENERAL CONTRACTORS
Contractor WATTERS PLUMBING
Category 440 - Industrial-Interior
Bathtub 6 Shower 12 Water Softner Wait. St. Shamp Sink
-
Whirlpool Floor Drain 6 Local Waste Ice Chest Flr/Wst Sink
Lavatory 18 Lndry Tray Clothes Wshr 6 Exam Sink Catch Basin
-
Toilet 18 Disposal 6 Bidet Sculry Sink Wash Ftn
-
Res. Sink 6 Dishwasher 6 Beer Tap Hand Sink Urinal
Bar Sink Sump Pump 6 Lab Sink Plaster Sink Standp Rec
Water Heater 6 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. 12 HOSE BIBB
Fixtures
No
126766
Create Date 08/23/2007
Plan ZZ1-264-0907-P
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
6 Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
NEW 6 UNIT RESIDENTIAL INTERIOR PLUMBING (CK#65879 PLAN REVIEW & PERMIT)
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
Use/Nature
of Work
Valuation
$32,010.00 Plan Approval
$0.00 Permit Fees
$798.00 0 Permit Voided I
Issued By
Date 09/13/2007
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 118
Agent/Owner
MENASHA
WI 54952 - 0118 Telephone Number 920-733-8125
Date
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, WI 54903-1 ] 30
Phone: (920) 236-5050
Fax: (920) 236-5084
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
If vou are a contractor participatinfJ in the Permit Fee Account Svstem and have adequate funds. check here
if vou want this processed through vour account n ;2.7-1 - ,;(( cf - 09'ol--;O
Job Address J.;JOI) j;'/J( f2c&l/. f)/Z.
Owner /:t'q{.,r! 61Jk1111 I ib...,4J1dContractor
DSingle Family DDuplex DMulti-Family
Number of Fixtures:
Bathtub ~
Whirlpool
Lavatory
--LL
-I-L
-'-
Water Heater ~
}if Gas 1:1 Elect 0 PwrVnt
Shower ~
Floor Drain --L--
Toilet
Res. Sink
Bar Sink
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Surgeons Sink
Breakrm Sink
Dip Well
Hose Bibs
Value (Including labor and materials) J '2; O/D ,uD Date
~ Mil s filunLNj ::z;;,
DIndustrial
~
-'-
-'-
~
-L2-
f~;:7
.. ..
DRental
DCommercial
Drink Ftn Catch Basin
Wait. St Wash Ftn
Tee Chest Urinal
Exam Sink Gar Drain
Sculry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Comm. Tee Maker
Serv Sink Site Drain
Int Grease Trap Roof Drain
Ext Grease Trap Standp Rec ~
RP.Z. Valve Eye Wash Stn
Shamp Sink Wtr Sewer Mtrs
FlrlWst Sink Deduct Meters
Wtr Usage Mtrs
Electric Contractor
Use / Nature of Work j?.;tr?kJ
t uN,1
OR
DElectric Installation Verification form attached
(If Replacement)
IIi.l( 7
/I
; 7 ?ftlJO
Sanitary Sewer
Conn. Type
Storm Sewer
Water Service
Size
Material
Type
#
11/05