HomeMy WebLinkAbout0126818-Plumbing
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QSHKOSH
ON THE WATER
Job Address 2035 S KOELLER ST
CITY OF OSHKOSH No 126818
PLUMBING PERMIT - APPLICATION AND RECORD
Owner USPG PORTFOLIO TWO LLC Create Date 09/18/2007
Plan
Category 430 - Industrial-Exterior (laterals)
Contractor FREUND EXCAVATING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Shower Water Softner Wait. St.
Floor Drain Local Waste Ice Chest
Lndry Tray Clothes Wshr Exam Sink
Disposal Bidet Sculry Sink
Dishwasher Beer Tap Hand Sink
Sump Pump Lab Sink Plaster Sink
Classrm Sink Sterilizer Surgeons Sink
Breakrm Sink Dip Well F Prep Sink
Ejector/Grind Drink Ftn Serv Sink
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
Use/Nature [Abandon laterals serving old Walmart building to raze structure.
of Work
Valuation
Issued By
Size
Material
Type
#
Conn. Type
Parcelld #
1323100000
Sanitary Sewer
Storm Sewer
Water Service
$2,000.00
Plan Approval
$0.00
Permit Fees
$25.00 0 Permit Voided I
Date 09/18/2007
In the performance of this work, I agree to perform all work pursuant to rules governinQ the described construction.
City of Oshkosh
I,nspection Services Division
POBox 1130
'Oshkosh, WI 54903-1130
, Phone: (920) 236-5050
Fax: (920) 236-5084
ON THE WATER
Plumbing Permit Application
[hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the workto 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 $100.00 plus the normal permit fee, which
ever is greater.
OR
Ifvou are a contractor participatin>! in the Permit Fee Account Svstem and have adequate funds. check here
ifvou want this orocessed through vour account n
** Advisory - For applicable projects, an Electrical Installation V erification (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted
with the permit application. Applications submitted without an EN when such is required, will not be
processed for Permit Issuance and will be returned for completion.
Job Address(}-(J3)' ). /UO<.-tlervalue (Inc1UdinglabOrandmaterials!~~. t7D Date 9-/~ "07
Owner UJAL -tn Ifn- Contractor FR$t{Jf/() E1CJ1tIIl77JtJG
DSingle Family DDuplex DMuIti-Family DRental ~Commercial . Dlndustrial
Number of Fixtures:
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:] 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 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 ilB.AIVt9()dl#'& aT' t-JT IE.s
Size Material Type # Conn. Type
Sanitary Sewer /f" fJ /.J?S nc '-ATe-ifil- l A 8 JfIV {)~
Storm Sewer '8" PLIIs ne ufrEJ(ltf- I 1t8/ttJ 01)
Water Service 6 I' fJ/Jf5T1 C /-If TEl( Ik- I ft81frf/bfl)
07/07