HomeMy WebLinkAbout0127916-Plumbing (interior)
e
OSHKOSH
ON THE WATER
Job Address 25 E WAUKAU AVE
CITY OF OSHKOSH
No
127916
PLUMBING PERMIT - APPLICATION AND RECORD
Owner KURT A KOEPPLER
Create Date 11/21/2007
Contractor WATTERS PLUMBING
Category 440 - Industrial-Interior
-------,._~..~_._-_._...,_._. -.----.---...-------.,.--.-.
Plan ZZ1-270-0907-P
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc. 3
Fixtures
6
Shower 6 Water Softner Wait. St. Shamp Sink Coffee Maker
Floor Drain 1 Local Waste Ice Chest FlrlWst Sink Int Grease Trap
Lndry Tray Clothes Wshr 6 Exam Sink Catch Basin Ext Grease Trap
Disposal 6 Bidet Sculry Sink Wash Ftn RPZ Valve
Dishwasher 6 Beer Tap Hand Sink Urinal Eye Wash Statn
Sump Pump Lab Sink Plaster Sink Standp Rec 6 Wtr Sewer Mtrs
Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters
Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Ejector/Grind Drink Ftn Serv Sink Soda Disp
Hose bibs
16
12
6
UselNature
of Work
r.---.----~----.~---- -'.---.-.-- "-.-,-..-..---~--.----~--._._.-- -_"'_-0'. ..._. _.._____....__. __._u..__._~.______ -. ___,_."._.,.____._..__ ._._ ___,,___._.._
ilnterior plumbing 6-unit multifamily with gas water heater per approved plan.
I
I
i
l._____
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1416400000
Valuation
._J~E3,-~~4.0~
Plan Approval
$9.QQ
Permit Fees
$525.00
Permit Voided
Issued By
Date 11/21/2007
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 PO BOX 118
Agent/Owner
MENASHA
WI 54952 - 0118 Telephone N um ber 920-733-8125
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.
C79'J.S
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, wr 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5034
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafl:er 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 without permit(s) will result in fees being doubled or $100.00 plus the
norma! permit fee, which ever is greater.
OR
ll..J!.ou qre a contr.pctor parficipatin(l in the l!.grml1. Fee_Account 5'vstem' and hav?_@S!.!J...uat.!LJ..1d..nd.,L.. chc...c.s;..k../rere
if.....J!..QJ!.c....1font this....processed Ihrough_J!.Qur iIfCOUI2L_O
Job Address ;)SL,r./~.J", Value (i"""dl", 101",,,, _'I"")~~ _ Dale~/,.0';.;._
Owner L.L7. ,If...._~./~L-_ CiOllliltlradof' _.M...~--r.r ~&~r .;t:;c
DSillilgle .Family DDIDlpDex ~MunUTI-Familly DRlCllilllaP. []C(])wmelrdaR Dbd1lllstriliU
NtllmbeJr (])fFixtmres:
Bathtuh .k_.___
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater .....1_.
jfJ Gas II Elect: 1 PwrVnt
~hower ~_.__
Floor Drain _1_..._..
..L1t_.
L2._..
-.k.._
Disposal
Dishwasher
SUI11Jl Pump
Ejector/Grind
Water Sonner
Local Waste
Clothes W shr
....'---...
....~-_...
Drink Ftn
WaiL S1.
lee Chest
Catch Basin
Wash Fin
Urinal
Exam Sink
Gar Drain
.u.~....
Senlry Sink
Hand Sink
F Prep Sink
Serv Sink
Soda Disp
Coffee Maker
COl11m. lee Maker
Site Drain
Roof Drain
Standp Ree
Eye Wash Stn
Wlr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
--~-
Bidel
LndlY Tray
Lah Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Beer Tap
Classrl11 Sink
Surgeons Sink
Breakrm Sink
[nt Grease Trap
Ext Grease Trap
ItI'T Valve
Shamp Sink
1'1 r/W st Sink
DipWel1
Hose Bibs
...3-...
.Electric COlliltrad(])lr
Use / Nature OfWq)1rk~~ k-;;/.-
'.----.----.-----.--------------.,
t 4'/11/'/
OR DERectrk IlTIl;gtaUadmu V ClrnficatR(Jl!lil form attached
(If Replacement)
7fI7.'f .S1,$7f1J1
Size
.-.MateriaJ-..--------Type ---..-.-if---......-----
I.. '
I
Sanitary Sewer
Storm Sewer
Water Service
---------...--.----___.0 ARTMENT OF
COMMUNITY DEVELOPMENT
, I INSPECTION SERVICES DIVISION
Z 2.. I - ..L t>tf-. 6'07 -?
11/05
cJc ~~? '333