HomeMy WebLinkAbout0128318-PlumbingCITY OF OSHKOSH No 128318
bSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 225 W 20TH AVE Owner CONVENIENCE STORE INVESTMENTS Create Date 01/03/2008
Contractor RADTKE CONTRACTORS INC Category 430 -Industrial-Exterior (laterals) Plan
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest _ Flr/Wst Sink
Lndry Tray Clothes Wshr Exam Sink Catch Basin
Disposal Bidet Sculry Sink _ Wash Ftn
Dishwasher Beer Tap Hand Sink Urinal
Sump Pump Lab Sink Plaster Sink Standp Rec
Classrm Sink Sterilizer Surgeons Sink Ice Maker
Breakrm Sink Dip Well F Prep Sink Gar Drain
Ejector/Grind Drink Ftn Serv Sink Soda Disp
Date 01 /03/2008
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 per 'application within an easement, the City strongly urges the permit applicant to contact the
easement holder( a to secure any ne sary approvals before starting such activity.
Signature ~,.,_ ~,.. ~ ~ ~~ Date ~ , ~ ~~ ,~
Address 6408 CROSS RD
Agent/Owner
WINNECONNE
WI 54986 - 9731 Telephone Number (920) 582-4114
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.
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
$1,000.00 Plan Approval _ $0.00 Permit Fees $25.00 ^ Permit Voided
Jun, 17. 2005 8 : 47AM
city of oshkpsh
t Inspection Services division
P O Box t t30
Osl3kosh, WI549Q3-1 I30
Phone: (920) 236-5050
Fax: (920) 236-5484.
inspection. services
Plumbing Permit Appiio2ltion
No, 1632 P. 1
~• ~ I.JJ 1 I
pN FHF W,arF'k
1 hereby apply for a permit to do atui install the following pltunl~ing on t}ie premises hereinafter descn'bed, the work to conform 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 Csty HaII, Koom 205 or mailed to In~•pection Services, PO 13ax 112f3,
Osltlc~slt Wl S49f13-i i 28. Commencing work rovithout permits) will result in fees being doubled or $100.0(} plus t}re
.normal permit fee, which ever is greater.
OR
If You are_.~ contractgr,pgrtcinating_.in rh~WPermit Fee ifccount ~Sy.rtem and have adequatef'unds,, check here
ff yQu i~vant ihas processed thrr~ugh ynui• account ~~
.iObAddresS ZZ,~ ~.• G6L~/~'C. V$~pC(TnChrding3at>(u'a~mtCrists) ~ ~ `° Date ~'~- a~
Owner ,;,~„••(~~•„•,_• ,,,~~ Contractor ~e~1 ~'-,r~ ~ ~c.c mks .
^Siggle Family []Dupletc {,Multi-Family ]Rental ~Cora!<nercial []Industrial
l~utnber of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Rcs. Sink
Bar Sink
Water licater
u Gas CJ elect ^ I'vreVnt
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
1?ixlures
Electric Contractor
Uispasal chink rtn Catch E3sain
lhshwashcr Wait St Wash !'En
Sump Yump lee Chace tlrinai
Njccior/(;a-ind fi~cain Sink tier Drain
Water $ofincr 5culry Sink Scala thsp
1Joca1 Waau Hand Sink Coffee Maker
C:lothas Wshr F Prep Sink lee Maker
Bidet Serv Sink Site chain
F3cer'L'sp intC,?rease'rrap Roof !barn
(.Islam Sink F'sxt C`~reasc'liag Stancip Kcc
Surgcone Sink R.P.7 Valve liyc Wash tiUti
F3rcakml Sink champ Sink Wtr Sewer Mfrs
Dip Weii _ Flr/WstSink UedUCiMeters
Wtr ITsage Mtrs
DR ^Eiectric Installation Verification form attached
OtReplacetneni} .
Use /Mature of Work n; .~~k.,<. ~. c r- ~..1 g ~'p r ~ ,f,.~ r a ~l ~~~_~~ ~'` .(• l~ ~,
Sin Material Type: # Conte. Type
Sanitary Sewer
Storm Sewer ,
Water Service
a/os