HomeMy WebLinkAbout0128144-Plumbing (drains)
o
"OSHKOSH
ON THE WATER
Job Address 400402 E PARKWAY AVE
CITY OF OSHKOSH
No
128144
PLUMBING PERMIT - APPLICATION AND RECORD
Owner PAS TYME OF OSHKOSH
Contractor KOCH PLUMBING
Category 440 -Industrial-Interior
Create Date
12/12/2007
Plan
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature Tavern / Replace drains serving 2 ice chests and sink at bar area and repipe site drain in basement at ice maker. "'DEBIT ACCT".
of Work
Shower Water Softner Wait. St.
Floor Drain Local Waste Ice Chest
Lndry Tray Clothes Wshr Exam Sink
Disposal Bidet Sculry Sink
Dishwasher Beer Tap Hand Sink
Sump Pump Lab Sink Plaster Sink
Classrm Sink Sterilizer Surgeons Sink
Breakrm Sink Dip Well F Prep Sink
Ejector/Grind Drink Ftn Serv Sink
Shamp Sink
3 FlrlWst Sink
Catch Basin
Wash Ftn
1 Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
I
Valuation
Issued By
Size
Material
Type
#
Conn. Type
$700.00 Plan Approval
$0.00 Permit Fees
Parcelld #
0405400000
Sanitary Sewer
Storm Sewer
Water Service
$28.00 0 Permit Voided I
Date 12/12/2007
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 2005 DOTY ST
OSHKOSH
WI 54902 - 7040 Telephone Number 920-231-6661 or 235
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.
:::C ,'2 07 09, 55a
=:: City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Clarence Koch
(820)
235-0282 p.l
~
OJHKOJH
ON THE WATER
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work toconfonn 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 pemrit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If yOU are a contractor Darticipatin!! in the Permit Fee Account System and have adequate funds. check here
i ou want this rocessed throu h our account
qao~ '. _ . ~
Job Address 4&2" /.::;:'" P/.\k?/;~/...-1"'Value (lncludjng labor and materials) 70.0 ~ Date /2 -/,?-tl7
Owner ~ 111'R'/z 4' ..8:4 C!/.:'" (J/ S Contractor K ~#
DSingle Family DDuplex DMulti-Family DRental DCommercial DIndustrial
Number of Fixtures:
Bathtub Disposal
Whirlpool Dishwasher
Lavatory Sump Pump
Toilet Ejector/Grind
Res. Sink Water Softner
Bar Sink Local Waste
Water Heater Clothes Wshr
o Gas 0 Elect 0 PwrVnt Bidet
Shower Beer Tap
Floor Drain Classnn Sink
Lndry Tray Surgeons Sink
Lab Sink Brealam Sink
Plaster Sink Dip Well
Sterilizer Hose Bibs
Misc.
Fixnrres
Electric Contractor OR
Drink Fm
Wait. St
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
F Prep Sink
Serv Sink
Int Grease Trap
Ex:t Grease Trap
RP.Z. Valve
Shamp Sink
FlrlWst Sink
~
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Comm. lee Maker
Site Drain
Roof Drain
Standp Rec
Eye Wash Stn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
-L
OElectric Installation Verification form attached
(If Replacement)
Use I Nature of Work 12c///1~ :t/};!..,?7/,At"":5'
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
~)C
/ 2 /: -9 7.
. .. -- e;.. - V
,
11/05