HomeMy WebLinkAbout0104033 POSHKOSH
ON THE WATER
.lob Address 521 W 16TH AVE
Contractor JIM'S PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner ZION LUTHERAN CHURCH
Category 440- Industrial-Interior
No 104033
Create Date 06/24/2003
Plan C5-49-0903-P
Bathtub 16 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 2 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 17 Lndry Tray 1 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 17 Lndry Stndp 2 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Res. Sink 18 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0
Water Heater 1 Sump Pump 1 Dent. Oper. 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
Site Drain 3 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature
of Work
16 unit apartment building.
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Valuation $53,000.00 Plan Approval $0.00 Permit Fees $456.00 ~ Permit Voided
Issued By
Date 09/08/2003
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
Address W-6166 GREENVILLE DRIVE GREENVILLE WI 54942 - 0000 Telephone Number
757-5258 OR 757-64(
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.
09/03/2003 07:59 FAX 920 757 6482 JIM'S PLUMBING ~001/001
;ity of Oshkosh
inspec~iou Servi;cs Division
? 0 Bo;*; 1130
~hkosh, WI ~4~-1
?hone: (920) 23~S050
Fax: (920) 23~5084
Plumbing Permit Application
I hereby apply for a permit co do and install thc followiug plumbing on the premises h~i~aiter de~crlbed, ~h¢ work to ¢orfform to
Wi.~xmsi n State Plurabin8 Code, in thc performance of which all parties her;to agree to and are bound by said
n Application(s) and fee(s) can be brought to City Hall, Rx~om 205 or mailed to Inspeetion Services, PO Box 1128,
Oshkosh Vfl ~.903 - I 128. Commencing.work without pe~mit(s) will result in fees being doubled or $ 100.00 plus thc
normal po'mit fcc, which ever is grea~r.
OR
~ractor partlclvaltn~ in the Permit Fee 2ccount ~'v~tem and haye ade~a~e~ [~nt[$, ehe~ h~
if you Wa, at th(~ orocessed through your account ,~
[~Single Fs mily [--]Duplex [~Mulli-lFsmlly ["]Rental ('-]Commercial [~Indastrial
Electric Contractor
Use I Nature of Work
OR ["-~Electric Installation Verificut/on form sttacbed
09/02/2003 ~JE I0:37 [TK/RX NO $$461 ~001