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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