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Home My WebLink About0127268-Plumbing (interior, underground) G OSHKOSH ON THE WATER Job Address 2800 N MAIN ST CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner PACKER AVENUE PROPERTIES LLC Contractor JT SCHMIDT PLUMBING INC Category ~40 - Industrial-Interior Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Valuation Issued By Shower Water Softner Wait. St. Shamp Sink Floor Drain Local Waste Ice Chest Flr/Wst 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/Grind Drink Ftn Serv Sink Soda Disp **DEBIT Accf**~---------~---- No 127268 rr'm /Interior undergroun-d plumbing & venting. I I I [-_._--,---.~ Create Date 10/15/2007 Plan Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Material Type # Conn. Type I I I i j Size Sanitary Sewer Storm Sewer Water Service Parcelld # 1519600301 $4,000.00 Plan Approval ______lQ,QQ Permit Fees ______~~:2Q O~~r~~_~()~':.cl.i ~ 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 Agent/Owner Address 419 S WASHINGTON ST COMBINED LOCK~WI 54113 -1049 Telephone Number (920) 788-7314 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. <.:oct.11, 200711:57AM Inspection Services Division POBox J130 Ollhkosh, WI S4903~lUO Phon\:: (9~O) 236-S0S0 fo'ax: (920) 236-S084 inspection services No.5~. 1 ~. ~JB Plumbing Permit Application 1 h~reby apply for IS permit to do and install the following plumbing On u,tl prcmi:-;e.s hereinafter dl!scribed, the work to conform to the Wisconsin Stl.\t; Plumbing Codo, In the porformance of which 1!1I pl\l"tj~~ ht.:r.,t(l ",gree to 111ld L!rl! bound by said GlaLulcll. · Applicalion(s) and fClO(S) can be brought to City HaJl, Room 205 or ml1iled to Inspection. Services, PO Box 1128, Oshko!lh WI 54903-1128. Commencing work without I'ermi[(s) will n:sult in fees b~inlJ doubled or $1 00.00 plus the normal permit fee, which ever is gT~atf:lr. OP. ~f'1l0U ar~ {I cf.ll'Jlr(Jcta~ rJarticil!.afi!l i the Per ere jfyou want (hi:! ~,.ocesseJi th"oul!h ].IJ21'!.~ ** Advisory.. For applicable ptoJccts, an Electrical IDstaDation Verification (EIV) fonn, signed 'by the Electrical Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted with the permit application, AppUcations submitted without ilJ1 EIV when such is required, will not 'be processed for Permit Issuance and will be ..ctumed for completion. Job Addr...~ N- M"-'''' <.J Value (locI"';'"",,,... _..)~.. Owner W ~...lL ~,f,.l.or.t-""frcontrador :r.;. '$, M,~\A- DSingle F~mily DDtlpl~x DMulti-Fanlf1y DRehtal DCommercil'l1 Dt1tt~ 'Df~ /67 (... Industrial Number of Fixtures: E1l1thtllb Di~rn~uJ Drink F1n Catch Bluin J Whirlpool Dll'lhwll~hol' Walt. 5t. W4sh Flrl L.avatory Sump Pump I~o Cht:St Urinal Tollel f'Jectl.'lr/(irtnd EXllm SInk O~( Drain Res. Sink Walm' Sotlnc:. SlO1ulry Sink :S0411 OISIl BllrSillk I.ocal W>1$fIl l;hllld Sink Coffee Maker WlIler Hllll.ter Clolhtlll W!l'lr F I'rllp Sink <':0001'11. Ice Mllkm- r. 011' rj ~I~cr ~[ Bidet Scrv Sink Sl~ Dndn Sl1o~t Hclcr'1'lll' lnt Greaso; TnIp RQQfDraIn Floor Drain Chus"" Sink Ext G1'CII.~c Trap :Smndp Rec tnuTY 1m)' Surgcoh~ Sink IlP.Z. Valve eye Wuh SIll tub Sink Breaknn Sink Sll\1mp Sluk Wtr SIl""er MIDI Phl~lcr Sink Dip Wtll FltlWst Sink DeduCI MoLCI'lI ~1ll!lrH b:er Ho$101 Bibs Wtr USl1le Mils Mi~c. i z.~~ Fixlures Electrjt Contrador (for projects Dot requiring an EIV Form) Use} Nature of Work g~lO~ v'^d.trrt V'Ou',^-J... ~(.,.~ ~t.wh~ Sizo Material Type #- Conn_ Type Sliitl itary S~wer Storm Sewer Wll.t~r Service Loo/Loolil ~ {f)'1 ~lJ. 07/01 ~ LOOZ:/~L/OL~ ~nld lOI~H8S 1 r OLP888LOZ:8 XV3~O:LL