HomeMy WebLinkAbout0127667-Plumbing (added fixtures)
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OSHKOSH
ON THE WATER
Job Address 725 BUTLER AVE
CITY OF OSHKOSH
No
127667
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Owner WINNEBAGO COUNTY Create Date 11/06/2007
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 Scurry Sink Wash Ftn RPZ Valve
33 Beer Tap Hand Sink Urinal Eye Wash Statn
Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Sterilizer Surgeons Sink Ice Maker 18 Deduct Meters
Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Drink Ftn Serv Sink Soda Disp 17
Contractor TWEET-GAROT
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature Fixtures in addition to permit #122482 for new Health Care Facility. Check #114740
of Work
Valuation
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
17 PVB's
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
$1,287,000.00
Parcelld #
1529500000
Plan Approval
$0.00
Permit Fees
$602.00 0 Permit Voided I
Date 11/06/2007
Issued By
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 PO BOX 11767
GREEN BAY
WI 54307 - 1767 Telephone Number 414-498-0400
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.
City of Oshkosh
Inspection SeIvices Division
.P 0 Bo't 1130
Oshkosh, WI 54903-1130
Phone; (920) 236-5050
Fax: (920) 236-5084
~
OfHKOJH
ON THE WATFR ,
RECEIVED
NOV 05 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
. -INSPECJJO~ SERV!CES DJVISION
Plumbing t"ermn Application
1 hereby apply for a penuit to do and install the following plumbing on the premises hereinafter descnbed, the work to conform to the
Wisconsin Stale Plumbing Code, in the performance of which all parties hereto agree [0 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 woIk without pexmit(s) will result in fees being doubled Of; $100.00 plus the
normal permit fee, which ever is greater.
OR
I ou are a contractor aniei atin in the Permit Fee ACCount S stem and have ade
ou want this rocessed throu h our aCCOunt
Job Addres.-.J2 S- 8/;.,. Le fL- Valoe (1001"",.. ."........ ="""'l J, Z 67. D6b Date II /z. L" 7
I I
Owner ~~ IIJrfW HaAVt14 ~Contractor IUlS1!lf -C:,II~ ~G"'/Mh~
DSingle Family DDuplex DMuIti-Family ORental ~comrnercial DIndustriaJ
Number of Fixtures;
Bathtub
Whirlpool
Lavatory
Toilet
R.el;. Sink
Dar Sink
Wall:r Heater _
M Gas 0 Elect 0 ?wrYnt
Shower
Floor Drain
l.Jtdry Tray
Lab Sink
I'lastcr Sink
Sterili7.1;J'
M~c.
fixlU~
0i5po~1
Dishwasher
Sump Pump
Ejector/Grind .
Water Softner
I A;lClIJ Waste
Clothes Wshr
Bidet
Beer Tap
(:Jassrm Sink
Surgeons Sink
Br~krm Sink
Dip Well
Hose Dibs
~.,.
--'--
-......;0;.___
DrinkFtn Catch Basin
Wait.St. Wash Ftn
let: Chest Urinal
Exam Sink Gar Drain
Sculry Sink Soda Disp . -Ll
Hand Sink Coffee MlI.1<cr 18
F l'Tcp Sink COmm. Ice Maker
Scrv Sink Site Drain ~
In! Orc:asc Ti'ap Rouf Drain
Ext Grease Trap Standp Rcc
RP.z. Valve .ll Eye Wash 8m I
Shamp Sink Wtr Sewer Mtrs
FlTlWst Sink Deduct Meters
Wir Usage Mtrs
Electric Contractor
OR
OElectric InstaJlation Verification form attached
(If Replacement)
Use I Nature of Work jlOOeO ;1;r:T:!~~ 8'1 ,4 OOaJOull1 4~ f Il.bJE6-r' h-wa-:-
Size Material Type # Conn, Type St:,)G:JI7.~ ~
<# ho~,--'
Sanitary Sewer
Storm Sewer
Water Service
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