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HomeMy WebLinkAbout0128276-Plumbing (interior) e OSHKOSH ON THE WATER Job Address 2010-2100 W 9TH AVE CITY OF OSHKOSH No 128276 PLUMBING PERMIT - APPLICATION AND RECORD Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Owner TOWER ASSOCIATES LLC Create Date 12/26/2007 Category 440 - Industrial-Interior Plan Water Softner Wait. St. Shamp Sink Coffee Maker Local Waste Ice Chest Flr/Wst 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, jf 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 secur ny necessary approvals before s arting such activity. Signature Q Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Valuation Issued By Midwest Tasty Rites (#2090) /Interior remodel Size Material Type # Conn. Type Sanitary Sewer Storm Sewer j Water Service Parcel Id # 0614660000 $1,700.00 Plan Approval ~ $25.00 0 Permit Voided I $0.00 Permit Fees Date 12/26/2007 ~ Date AgenUOwner OMRO Address 730 HAWTHORNE DR 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 (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 re<;tdy 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. City of Oshkosh Inspection Services Division POBox 1130 Oshkosh, VVI54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 ~ OfHKOfH 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 to conform to the VVisconsin 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 without permit(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 participatinfl in the Permit Fee Account System and have adequate funds. check here if yOU want this lJrocessed throuflh your account n ** Advisory - For applicable projects, an Electrical Installation Verification (ElV) form, signed by the Electrical Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted with the permit application. Applications submitted without an EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. ~ of) .^LL.~ . Job Address ~,\)'tO q ~ OQ... Value (Including labor and material~ \ 1 D 0;::...:: Date~!~)_ Owner fV\Q~e)~ l(~7\~~S,es Contractor Q-~.\? \:\~~n;:'Jl. ~ DSingle Family DDuplex DMuIti-Family DRentaI (StommerciaI DIndustriaI Number of Fixtures: Bathtub Disposal Drink Ftn Catch Basin Whirlpool Dishwasher Wait.St. Wash Ftn Lavatory - Sump Pump Ice Chest Urinal Toilet Ejector/Grind Exam Sink Gar Drain Res. Sink Water Softner Sculry Sink Soda Disp Bar Sink Local Waste Hand Sink Coffee Maker C5C Water Heater Clothes Wshr F Prep Sink $L Comm. Ice Maker 9- [J Gas 0 Elect iJ PwrVnt Bidet Serv Sink Site Drain Ilu:I Shower Beer Tap lnt Grease Trap Roof Drain Floor Drain Classrm Sink Ext Grease Trap Standp Rec Lndry Tray Surgeons Sink R.PZ. Valve Eye Wash Stn Lab Sink Breakrm Sink Shamp Sink Wtr Sewer Mtrs Plaster Sink Dip Well Flr/Wst Sink Deduct Meters Sterilizer Hose Bibs Wtr Usage Mtrs Misc. Fixtures Electric Contractor (for projects not requiring an EIV Form) Use / Nature of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer VV ater Service 07/07 L