HomeMy WebLinkAbout0127264-Plumbing (site drains)
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OSHKOSH
ON THE WATER
Job Address 1828-1900 JACKSON ST
CITY OF OSHKOSH
No
127264
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
5 Breakrm Sink
Ejector/Grind
Owner BRADLEY OPERATING LTD PARTNERSHIP Create Date 10/15/2007
---~--'- -
Category 440 - Industrial-Interior Plan
.~--_._----~.__..._.-
Water Softner Wait. St. Shamp Sink Coffee Maker
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
Contractor JT SCHMIDT PLUMBING INC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature rick 'n Save #1900 / Move or install site drains for-coOlers-:-**OE-BITACCT;**-.-------
of Work I
1
I
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1514970200
$35.00
Permit Voided
Valuation __~,OOO.OO Plan Approval _______:s.9:.QQ Permit Fees
Issued By ~
Date 10/15/2007
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 419 S WASHINGTON ST
Agent/Owner
COMBINED LOCK~ WI 54113 - 1049 Telephone Number (920)788:Z31~_
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.
Nov 09 04 07:55a
Oshkosh Inspections
920-236-5084
p. 1
Cito; of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
~
OJHKOJH
ON THF WATFR
Plumbing Permit Application
I hereby apply for a pennit 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 \.vithoutpennit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
I
Job Address I "PO ~a t.f"St:J 11 ~+
Owner ?U, /" ../wI, S.,4v
DSingle Family DDuplex
Value (Including laborand materials) ~;~G\; (.Q
O. ;. S:.A \1'\<11 ct.J.
Date If) /I, /~..,
DMulti-Family
DRental
fX..4~,
,
DCommercial
DIndnstrial
Contractor
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Watcr Heater
C Gas Ci Elect::J Pv.TVnl
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Stcri lizer
l.J1dry Standp Dent. Oper. Shamp Sink
Disposal Dip Well FlrlWst Sink
Dishwasher DrinkFtrI Caleh Basin
Sump Pump Wait. St. Wash FIn
Ejector/Grind lee Chest Urinal
Water Sonner Exam Sink Gar Drain
Local Waste Sculry Sink Soda Disp
Clothes Wshr Hand Sink Coffee Maker
Bidet F Prep Sink Ice Maker
Beer Tap Scrv Sink Site Drain ,..-
ClassTm Sink Int Grease Trap Roof Drain
Surgeons Sink Ext Grease Trap Standp Rec
Breakrm Sink R.P.Z. Valve Eye Wash SIn
t? ~ 7 pv' :::- ;; '3 S-~
Electric Contractor
OR
DElectric Installation Verification form attached
(If Replacement)
~t-k ~ \{~I\A( -*"
Size
Material
#
c::: 41'-' 4- 1'"' "S ,
/,Nt; f I<-. -
- yt.~.~~.
Use I Nature of Work
(;1t) rG ~ r
IlIt ~tll
Sanitary Sewer
Type
Storm Sewer
"-later Service
OCT 1 5 2007
DEPARTi\ilENT OF
COMMUNITY DEVELOPlViENT
INSPECTION SERVICES DIVISION
1 ~~t{
I~
7/03