HomeMy WebLinkAbout0127967-Plumbing
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OSHKOSH
ON THE WATER
Job Address 2975 S OAKWOOD RD
'"
CITY OF OSHKOSH
No
127967
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
2 Lndry Tray
1 Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner BARBER ENTERPRISES INC Create Date 11/28/2007
Category 440 - Industrial-Interior Plan
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 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 MEYER BRENNER LLC
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 h er(s) nd to sec any 9fCJSsaryc--~~Ovals before starting such activity.
Signature I'~~ .
Agent/Owner
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
Interior alterations to office/warehouse.
, .
,.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1329103001
$6,225.00 Plan Approval
$0.00 Permit Fees
$35.00 D Permit Voided I
Date 11/28/2007
Date
"I Za 101
# I
WI 53042 - 0000 Telephone Number 920-894-8444
Address 159 RUH COURT
KIEL
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.
City of Oshkosh
>> Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
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OfHKOfH
ON THE WATER
Plumbing Permit Application
1 hereby apply for a permit 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 without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which
ever is greater.
OR
Ifvou are a contractor lJarticipating in the Permit Fee Account Svstem and have adequate funds, check here
if vou want this lJrocessed through vour account n
** Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) mu.st be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
~ f)C) 75'" .J' OItK~J f)O 0 K.~ l/ /., 5-
Job Address V I , Value (Including labor and materials) v.1,(;J;2
,
Owner )3,4;ZMfiJ.... Contractor MCyU (deDI/Ii/if: LLC
DSingle Family DDuplex DMulti-Family DRental \l8!Commercial
Date II/L//tl?
Dlndustrial
Number of Fixtures:
Bathtub Disposal Drink Ftn
Whirlpool Dishwasher Wait. St.
Lavatory L- Sump Pump Ice Chest
Toilet ~ Ejector/Grind Exam Sink
Res. Sink Water Softner Sculry Sink
Bar Sink ~ Local Waste Hand Sink
Water Heater Clothes Wshr F Prep Sink
o Gas 0 Elect:] PwrVnt Bidet Serv Sink ~
Shower Beer Tap lnt Grease Trap
Floor Drain Classrm Sink Ext Grease Trap
Lndry Tray Surgeons Sink R.P.Z. Valve
Lab Sink Breakrm Sink , Shamp Sink
Plaster Sink Dip Well Flr/Wst Sink
S teri I izer
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Comm. Ice Maker
Site Drain
Roof Drain
Standp Rec
Eye Wash Stn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Hose Bibs
Misc. ~:N,!..J. .d-
Fixtures
Electric Contractor (for projects not requiring an EIV Form)
Use / Nature of Work
Sanitary Sewer
3
Material
"P.J c.
Type
#
Conn. Type
Size
Storm Sewer
Water Service
07/07
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B BUllDIlVG Phone 920-894-,2424.. Fox 92o-S9"-41J8
S SUPPLY wwwftndskanddesign.com
OSHKOSH OFFICE SYSTEMS
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