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Home My WebLink About0126999-Plumbing (RPZ) e OSHKOSH ONTHE WATER Job Address 4000 STATE ROAD 91 Contractor JIM'S PLUMBING & HEATING INC CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner CLOUD CITY LIMITED PARTNERSHIP Category 450 - Industrial-Other Shower Water Softner Wait. St. Shamp Sink Floor Drain Local Waste Ice Chest FlrlWst Sink Lndry Tray Clothes Wshr Exam Sink Catch Basin Disposal Bidet Sculry Sink Wash Ftn Dishwasher Beer Tap Hand Sink Urinal Sump Pump Lab Sink Plaster Sink Standp Rec Classrm Sink Sterilizer Surgeons Sink Ice Maker Breakrm Sink Dip Well F Prep Sink Gar Drain Ejector/G ri nd Drink Ftn Serv Sink Soda Disp Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature rfiistall replacement RPZ on industrial water cross connection. of Work Valuation Issued By i L._ No 126999 Create Date 09/17/2007 Plan Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs 1 Size Conn. Type Material Type # $395.00 Plan Approval _~_~OO Permit Fees $25.00 D Permit Voided I Parcelld # 1329100500 Sanitary Sewer Storm Sewer Water Service Date 09/28/2007 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 W6166 GREENVILLE DR Agent/Owner GREENVILLE WI 54942 - 9676 Telephone Number 920-757-5258 Date To schedule inspections please call the Inspection Request line at 236-5128noting theAdtfress,F'ermitNumber, 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. ~9/28/2007 09,27 FAX 920 757 6482 City of Oshkosh Inspection Services Division POBox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 JIM'S PLUMBING ~ 001/001 (t) OJHKOfH ON THE WATEI1 Plumbfng :Permit Application I hereby apply for a permit to do and install the following plumbing on the premises hereinafterdescn'bed, lhe\vork to conform to the Wisconsin State PJumbingCode,.in the perfonnancc of which allparties hereto agree to and are bouridhy 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 pennit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. . . . OR e Account S stem and:have:.ade unds.check here. Job Address' ''flJo{J ~r 9/ Owner .1).(' (,JiuitCN_- DSingJe Family . DDu,Plex. :Value (InC1Udi~glab~randmaterials) pt''?)J~ ;. .......~. Date 7!/.;.f1!~ ') : Fontractor ...:];,.,l-J ?~ fj~ .4Jc.. DMulti~Family. ORental DComin~r.~bil' .' ,~In4ustriaf;' ;"\ ~', ;' :" . Number of Fixtures: ::~I~~;.;,':~,,:. :)f F:.:: :'\:\" .';~. Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater o Gas 0 Elect 0 PwrVnt Disposal Drink Ftn Dishwasher - Wail, SL Sump Pump lee Chest Ejector/Grind Exam Sink Water Softner Sculry Sink Local Waste Hand Sink Clothes Wshr F Prep Sink Bidet Serv Sink Beer Tap lnt Grease Trap Clasmn Sink Ext Grease Trap Surgeons Sink R.P.Z. Valve Breakrm Sink Shamp Sink Dip Well Flr/Wst Sink Hose Bibs ~ .....:, '. CatcbB.asil'j . Wash F~ lJrinal Gar Drain .Soda Disp Coffee Maker Cornm. Ice Maker Site Drain Roof Drain StandI' Rec .Eye Wash Stn WtrSewcrMlTs Deduct Meters Wtr Usage MlTs Shower Floor Drain lndry TTay Lab Sink Plaster Sink Sterilizer Misc, Fixtures Electric Contractor OR DElectric'lnstallation Verification form attached (If Replacement) Use / Nature of Work Size Material Type .: # Conn. Type CitqClt .~~ \ i S ani tary Sewer Storm Sewer Water Service ~~/05