HomeMy WebLinkAbout0128166-Plumbing (radiology breakroom #1284)
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OSHKOSH
ON THE WATER
Job Address 855 N WESTHAVEN DR
CITY OF OSHKOSH
No
128166
PLUMBING PERMIT - APPLICATION AND RECORD
Owner AURORA MEDICAL CENTER OF OSHKOSH IN( Create Date 12/10/2007
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
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 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
0 Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Drink Ftn Serv Sink Soda Disp
Contractor SAMMONS PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
Radiology breakroom # 1284 remodel/addtion per approved plan. State Trans ID #1486791.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1621520000
$1,300.00 Plan Approval
$0.00 Permit Fees
$25.00 D Permit Voided I
Date 12/14/2007
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
OSHKOSH
WI 54901 - 2298 Telephone Number 231-9880
Address 522 W. MURDOCK AVE
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.
~OM :SRMMDNS PLUMBING
522 W. Murdock Avenue
920-231-9880
Fax: 920-231-6485
FAX NO. :9202318485
Dec. 13 2007 04:25PM P1
Sammons Plumbing
Fax
To: city of Oshkosh From: Mike Sammons
ATTN: Plumbing Inspector Pages: 1
Pho"e~ 920-231-9880 Date: 12/13107
Ra: Plumbing permits cc:
o Urgent X For Review o Please Comment o PleMe Reply o Please Recycle
. Comments~ Please process the following plumbing permit.
Please pay from our account.
Aurora Medical Center
855 N. Westhaven
site drain and ice machine
value: $1300,00