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OSHKOSH
ON THE WATER
Job Address 1901-1921 S WASHBURN ST
CITY OF OSHKOSH
No
128190
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
2 Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner JAMES A1KAREN A WIRCH Create Date 12/04/2007
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
Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Drink Ftn Serv Sink Soda Disp
Contractor GRP MECHANICAL INC
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 t ur n cessary approvals befo starting fuCh ~iVi .
Signature . e.J....cv--.\
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
Late permit/1921/ Oshkosh Karate Club /Interior alterations for new martial arts studio.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1316380400
$2,000.00
$0.00
$25.00 D Permit Voided I
Permit Fees
Plan Approval
Date 12/18/2007
-12-:1 \R( 07
Date
Address 730 HAWTHORNE DR
OMRO
WI 54963 - 0000 Telephone Number 920-685-0990
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.
~c
13 07 12:32p Gregor~ R. Peters
ciOec.l3. 2007 11:37AM inspedioll serVices
InspCt.""tion Services Division
PO Box.lI30
Oshkosh. WI 54903--1 IJO
Phone:: (920) 236.5C 50
F:1X: (920) 2J6-508/1,
685-5472 1
p.
,o.~
OfHKOfH
ON i'~~ w^lE~ -
S20
Plumlling Permit Application
( hereby apply for i:, permit to do an d insrnll the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin ~;rate Plumbing C:odc. in tbe pe,'formancl:l of which nll parties hereto agree [0 and are bound by said statutes.
. Applic,ition(s) I,nd fee(s) can blJ brought [0 City Hall, Room 205 or mllil~d to Inspection Services, PO Box 1128, Oshkosh WI
54903-1128. ('lmmencing work wi [hout perlnit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which
ever is greater.
OR
/(VOIl an' a COII!,raclor oGrri,;,fparinrt in ,'hr! Pu CCQunt System and have at:!.eQuute (und},; che~" here
iryou wal11 rhiS.r!roce:ssed chr()UI!n ynur accoun ~ ~~ . \,)\Sl~
** Advisory _ FN applicable ~:rojccts, an Electrical Installation ~fication (EIV) form, signed by the Elcctrical
ContT2IctoII' or HC)IDCownr:r ((01' installations allowed to be performed by the homeowner) must be submiltcd
with t~e ]~,umit llpplication. Application:r submitted with01lt ad EIV when such is required, will not be
processed! for p(:nnit Is.saancc lmd will be I'etumcd for cOOlpletion.
Job Addr'ss--l'~), \ S ~..;~~" "\ Value (Tod";', I....~. """"", Q,OO~ Da'e ~
Owner ~!'" W,I ,,1. Contractor G ~ ~ l"\il~.r.t~ ....~ ~
DSingle Famil}' ODupJex Ol\lulti-Fami1y On-ental ~mml:rcial Drndustrial
Number of :fix'lures:
Balhtub
WhirlpO\lI (") -_.~ f"i
l.uvulnry \ kb;!( Jj
Tuilel
Rr;<;. Sink
Hor Sink
W\1I~t Heat'~
J Gl\:I CI ~;I;<;1 ;.: P'l.I'rVllt
Shll.....et
flrlOr Drain
l..~dry Tmy
Lab !;ink
1'1UlcrSinl<
Sll:fili1er
Misc.
FiI(tur~
Disl:~",1
Disllw~shcr
SUIl~p Pump
Ejtl:totIGri1\d
W~ t.r Sutt1\Cr
LOCJI WIISle
Clo:l1cs Wsnr
Did~l
Bee r Till'
CI~;srm Sillk
Sllr~eoQs Sink
nr~ :limn Sink
Dil' Wtll
Ho ,t Bibs
Drink Fm
W"itSt
lc" ClltSl
F.Xlml Sink
!;cull'Y Sink
Hl>J1d Sink
F Prep Sink
!>crV Sillk
Inl Gre:l5e Imp
Ex! Gre:lSe TnI))
R.f'Z. Va.lve
Sbump Sillk
~lrlWst Silllc
N- ~"" <.S)
Electric COl1ltrl\cto,:r (for p'rojecc.!l DO requiring an EIV Form)
Use I NllturE~ ofWIIJ,rk ~.. I
Sanilllry Sewer
Storm S,:wer
Water Service
THe
Catd! Basin
Wa51J fm
Urinal
vllr !)Bin
Sod& l}isp
Coft~ Mlakcr
Comm, lee Mt>k.".
SitcDl'llin
Roof Drain
SlallAlp Rcc:
Eye Wash Stll
Wrr S~cr MITS
Dedllct Metcn
Wtt U"'~ MIQ
Size .
Materi al
Type
{I
Conn. Type
/.:<-/)-
/{J1 ~ cLriv ^1~
()7/0i
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