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OSHKOSH
ON THE WATER
Job Address 3001 S WASHBURN ST
CITY OF OSHKOSH
No 127378
PLUMBING PERMIT - APPLICATION AND RECORD
Owner BFO FACTORY SHOPPES LLC
Create Date 10/17/2007
Category ~~~:J.J:1~':l~J.0<ilI:.!.f1~rio~_________~ Plan
Contractor BAUMGART PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
UselNature !fenant space E 030. Harry & David. Interior plumbing with electric water heater.
of Work !
Shower
Floor Drain
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest Flr/Wst Sink Int Grease Trap
Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Bidet Sculry Sink 1 Wash Ftn RPZ Valve
Beer Tap Hand Sink 1 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
2 Lndry Tray
2 Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
-. --I
l__
_ _ __________ ___ __ J
Size
Material
#
Conn. Type
Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1329420000
$0_00 Permit Fees ________ $63:22 D P_eo.r~~ Voided I
Valuation __~_ $8,000.00 Plan Approval
Issued By
Date 10/19/2007
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
SEYMOUR
WI 54165 - 8115 Telephone Number 920-788-9983
Address N5209 HWY 55
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.
- t\ug. L'1. lVVO 0: 't7f\M
City of Oshkosh
Inspection Services Division
POBox 1130
Osbko9b, WI 54903.1 130
Phone: (920) 236-$050
Fax: (920) 236-5084
InspeCllon services
No. lj411~ 1'. I
(t)
QfH<OZB
ON TI1I! w^T II
Plumbing Permit Application
J hCTeby apply for a permit to do and install the following plumbing on the premises hereinafter described. tbe 'WOrlc to conform to the
Wisconsin State PlumbiD3 Code. ill the pcdOnnIuIce ofwbich aU patties hereto ~ to and arc bound by said statutes.
. Application(s) and fee(s) can be brought to City Hall. Room 205 or mailed to Inspection Services, PO Box 1128t
Oshkosh WI 54903-1128. Commencing work withoutpc:rmit(s) will n:sult in fees being doubled or $100.00 plus the
normal pennit fee. whicll ever is greater.
OR
I~ ;0" are 4 conrracllu p(lrlicil1alin~ in the PeTllfit Fee Account System and have adequate fands. cited here.
i . DU want thirprocessed tirou,' your accoun, n
Job Address PI'IML Ov.+fd. M (;{ fl
Owner Ha.1'~Y 4-. bav)ra'
DSing)e Family [)Duplex
1J'
Vallie (Jnctudins 1sbor1ll1d1ll8laials} }? ()DO, 0-0 Date I 0 ~- IS -0 1
Contractor 1?>aJI~arf pi u.mb>>~ I Nt.-
[]Multi-FainiIy []Rental McelDDlereial Ondustrial
Number of FIXtures:
Bathtub
wtrirIpolol
....a.-
~
lJlvatoJY
tOIlet
Rc$. Sink
Bar Sink
Water tfclI~ -1-
o aaaltEJed U PwrVlIl
S1lowcr
Floor 0f\Iin
1.1ldl1 Tta)'
lA\) Sink
J'1liSfct Sink
SW'lllm
Mise.
Fixtures
Electric Contractor
Use I Nature of Work
Sanitary Sewer
StoIDl Sewer
,Walet Service
Disposal
J>is1Iwasbet
Sump PuIrIp
FJecIOr/Grilld
WaJet SoftAer
Loc:al Waste
CIolJleS Wshr
Bidet
DeerTlIp
ctasimtSiDk
SvrpoeI Sink
9rtakrm Sink
Dip WcII
Hole Bibs
Drink ftn CatclJ Buin
Wail. St. Wash An
IceCbest Urinal
Ex=l Siftk Gar Dmn
Sclllly S"1IIk -L ~ni'P
lland Sink -L ("..oflCc Maklr
l" Prep Sial Comm. Ice Maker -
Se:no Sidk .-L Site [)Pill
lilt Grease T1'8p R.oofDmn
ExlGte8K TJlIp StanIp Rec
R.P.Z. VaIw E)C Wasil StJl
Sbamp Sink WIT Sewer MtrJ
FflIWst smk -L DeductMetoli
Wtr Usage Mbs
OR [JEleetrie IDstaUation Verifie8tion form attached
(lfRqJacemeat)
Size
Mareria1
'type
11
R
I
UfOS
{jL"* /395-3
~
- '5r;: C)tJ
DEPARTIVlENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION