HomeMy WebLinkAbout0126981-Plumbing
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OSHKOSH
ON THE WATER
Job Address 600 N WESTHAVEN DR
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Contractor JT SCHMIDT PLUMBING INC
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
No 126981
Owner WESTHAVEN OFFICES LLC
Create Date 09/25/2007
Category ~~II1.9~triali,!!erio~_____~ Plan
Wait. St. Shamp Sink Coffee Maker
Ice Chest FlrlWst Sink Int Grease Trap
Exam Sink Catch Basin Ext Grease Trap
Sculry Sink Wash Ftn RPZ Valve
Hand Sink Urinal Eye Wash Statn
7 Plaster Sink Standp Rec Wtr Sewer Mtrs
Surgeons Sink Ice Maker Deduct Meters
F Prep Sink Gar Drain Wtr Usage Mtrs
Serv Sink Soda Disp
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature [COMrlifIINTERIOR PLUMBING -2nd floor rem-oiTel.NC5fFThe drain work-in1Sffloor ceiiing is done iifnigh"fand closedup.-----------1"
of Work
Valuation
Issued By
I
L_~_.~___
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1621650100
$14,500.00 Plan Approval ___~O,QQ
-----()~
Permit Fees
_____j~3.00 0 P~!:~_~"'_~i_~~~J
Date 09/27/2007
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
Address
419 S WASHINGTON ST
COMBINED LOCK~WI 54113 -1049
Telephone Number
{9..2_QL?_~~i'}~.i____
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.
Nov OS 04 07:S5a
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1 130
Phone: (920) 236-5050
Fax: (920)236-5084
Oshkosh Inspections
920-236-5084
p.l
R
~
OJHKOJH
ON THF VlATFR
I
SEP 2 4 2007
DEPARTtv1ENT OF
COfvJMUNlTY DEVELOPfl.1ENT
INSPECfION SERVICES DIVISION
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 perfonnance of which an 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 withoutpermit(s) will result in fees being doubled or S100.00 plus the
normal permit fee, which ever is greater.
OR
lfvou are a contractor oarticifJating in the Permit Fee Account System and have adequate funds, check here
ifvou want this processed through vour account n
Job Address bOO 1./. wt.s4A4W"tk
1k:.dtA {({ If<"
DDupIex
Value (lncludinglaborand materials) I~ ~IJO Date 9ft, /a 7
.::::r: 1'- $" h VYltd..J, P"~' :f.-V1t....
[3COmmercial DIndustrial
Eledric Contractor OR
USf./1'~4!;::!'e ofWork_.___ /;4-/"(:r kuP ))(,~'1'
r-- --' ---.-.- --
'Material
Owner
OSingle FamilJ
Number of~ixtures:
Bathtur
Whirlpool
Lavatory
Toilet
-L
-'-
~,;;;2. Stili-..
e :.r ~,;~,k
,'" ~u..,' r ~1. ater
L; (jas G Bleet J Pv.TVnt
Shower
Floor Drain
Lndry Tray
Lab Sink -1-..
Plaster Sink
Sterilizer
! Sanit"~j 8cwer
I
I S(o,.. S,w"
W<:tcr Service
Contractor
DMulti-Family
DRentaJ
7 K 7()1J :: '1t/()O
Lndry Standp
Disposal
Dish1'\l3shcr
Sump Pump
Ejector/Grind
Dent. Oper.
Dip Well
Drink f'tn
Wait. St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
F Prep Sink
Scrv Sink
Int Grease Trap
Ext Grease Trap
RP.Z. Valve
Shamp Sink
Flr!Wst Sink
Catch Basin
\1.!,?~!~ r~tr:
Uril1:d
'"y;.t..l- Softr,..'
Gat" ~_.alil
Local Waste
Clothes Wsor
Bidel
Beer Tap
Classnn Sink
SoaU..oJl~
Coffee Maker
Ice Maker
Site Drain
Roof Drain
StandI' Ree
Eye Wash Stn
Surgeons Sink
Breaknil Sink
DElectric Installation Verification form attached
(If Replacement)
'T'ipe
# C~~n.Tyoc
7/03