HomeMy WebLinkAbout0128211-Plumbing (lav; water closet)
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OS~KOSH
ON THE WATER
Job Address 2705 HARRISON ST
CITY OF OSHKOSH
No
128211
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
3 lndry Tray
1 Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner LEO M/MURIEL M METZLER FAMILY TRUST Create Date 12/19/2007
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 LEE PLUMBING INC
Bathtub
Whirlpool
lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
Interior remodel/ replace 3 lavatories and new ADA water closet.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1519600202
$2,000.00 Plan Approval
$0.00 Permit Fees
$28.00 0 Permit Voided I
Date 12/19/2007
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 se cessary approvals before starting such activity.
Signature
Date / 2.. - f q... 0 ?
AgenUOwner
APPLETON
WI 54911 - 0000 Telephone Number 920-882-2215
Address 1316 N RICHMOND ST
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.
CiAug.J4. 2007 6:55AM
Inspection Services Division
POBox 1130
Osnkosh. VVI54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
inspect ion services
No. 4~. 2
~
OJHKO/H
ON THE WAT.R
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinaftl;lr described. the work to contorm 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 VVI
54903-1128. Commencing work withollt permit(s) will ~sult in fees being doubled or $IOO.QO plus the nannal pennit fcc, which
ever is greater.
OR
[(YOU are a contractOr Darticipating in the Permit Fe~ Account Svste.m and have adequate funds. check here
if you want ihis Droce.ssed throu,?h your acc;.fJJI,llt n
** Advisory - For a.pplicable projects, an Electri.caJ Installation Verlfication (EIV) form, signed by the Electrical
Contl'actot' ot' Homeowner (for installations allowed to be performed by the homeowner) must be submitted
with the permit a.pplication. Applications submitted withOlIt an EIV when such is required1 will not be
processed for Permit Issuance and will be returned for completion.
0.$ l-H U> ~1'f.
Job Addr.ess ;).1 D \' HItIl.e~oY) 5 T . Value (Including labor and mBtcrials)
Owner OS\.l{'-OS (of '(fJ'U t k. Contractor L.ee'5
DSingle Family DDuplex DMulti-Family DRental
Number of Fixtures:
Bathtllh Disposal Drink Fell
Whirlpool Dishwasher Wllit Sl
lavatol)' :3 SUITIJ) Pump lee Chc:sl
Torlet 1- Ejector/Grind Exam Sink
Res. Sin" Water Softner Scull')' Sink
Bar Sink Local Waste Hand Sink
Water }{eater Clolhes Wshr F Prep SiIlk
lJ Gas :J Elect U PwrVnt Bidet Serv Sink
Showc:r Beer Tap lnl Grease Trap
Floor Drain Classnn Sink Exl Grease Trap
Lndcy Tray Surgl:OllS Sink R.P.Z. Valve
Lab Sink Brenknn Sink ShlUllJl Sink
Plaster Sink Dip Well Iilr/Wst Sink
Sterilizer Hose Bibs
Mise. }
Fixtures
Electric Contractor (for projects not requiring an EIV Form)
Use/Nature of Work f?-ePWP3'- Lt")v~ i [.- lol\..e;t
{}.o~o ~
P (,.u fA{) ('#tv
*Commercial
Date I~-I ~~ 07
Dlndnstrial
Ca.teh 8a.o;in
Wash fro
Urinal
Ol\r Drain
Soda Oisp
CoiWc Maker
Comm. Ice: Maker
Sitlll:lra.in
Roof Drain
StlIl1dp Rc:c
Eye: Wasil 8m
Wtr Sewer Mtrs
Dedl1ct Meters
Wtr Usage Mtrs
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
07/07