HomeMy WebLinkAbout0130146-Plumbing (interior)OSHKOSH
ON THE WATER
Job Address 478 AVIATION RD
Contractor KOCH PLUMeIN(;
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner DAN MCELRnY
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Category 440 -Industrial-Interior
_ Shower 1 Water Softner Wait. St. Shamp Sink
_ Floor Drain Local Waste Ice Chest Flr/Vllst Sink
2 Lndry Tray Clothes Wshr Exam Sink Catch Basin
2 Disposal Bidet Sculry Sink Wash Ftn
_ Dishwasher Beer Tap Hand Sink Urinal
_ Sump Pump Lab Sink Plaster Sink Standp Rec
1 Classrm Sink Sterilizer Surgeons Sink Ice Maker
_ Breakrm Sink Dip Well F Prep Sink Gar Drain
Ejector/Grind Drink Ftn Serv Sink ~ Soda Disp
1 HB
No 130146
Create Date 05/22/2008
Plan FL-306-0508-P
Coffee Maker
Int Grease Trap
1 Ext Grease Trap
RPZ Valve
Eye Wash Statn
_ Wtr Sewer Mtrs
_ Deduct Meters
Wtr Usage Mtrs
Valuation $8,000.00 Plan Approval $0.00 Permit Fees
$63.00 ^ Permit Voided
Issued By
Date 05/23/2008
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 pe p lion within an easement, the City strongly urges the permit applicant to contact the
easement holder secure any neceL s~pca r als re starting such activity.
Signature ~ _ Date j-Z ~ ~'g
Agent/Owner
Address 2005 DOTY ST OSHKOSH WI 54902 - 7040 Telephone Number 920-231-6661 or 235
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.
~y 1, 4 08 03: 20p
City of Oshkosh
Inspection Services Division
P O Box l I30
Oshkosh, WI 54903-1130
Phoae: (920) 236-5050
Fax: (920) 236-5084
Clarence Koch
Plumbing Permit Application
Disposal Drink Fm
Dishwasher Wait SL
Sump Pump Ice Chest
Ejects/Grind Exam Sink
Water Sofiner Scuhy Sink
Local Waste Hand Sink
Clothes Wshr F Prep Sink
Bidet Sety Sink
Beer Tap Int Grease Trap
Classrm Sink Ext Grease Ttap
Surgeons Sink R.P.Z Valve
Bn~lom Sink Shame Sink
Dip Well FEr/Wst Sink
. Hose Btbs ~~
I hereby apply for a permit to do and iastall the following phtmbing as the premises hereinafter descn'bed, the work to conform to the
Wisconsin State Plumbing Code, is 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 WI 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
1 u are a contractor rtici atin in the Permit Fee Account S stem and have ado uate ands check here
i u want thi rocessed throw h our account
Job AddreSS~7~ /5~~ff~~~r'` 1c!:/J. Value (Includatglaborandmaterials) fJ,tJc~'~ 9'~ Date~'~~"
Owner ,Dj~ifl ~G ~ G2aY Contractor ,e~G~/~ /~,~U~f~/fif(~
^Single Family ^Duplex Q1Vlnlti Family RentalCommercial [Industrial
Number of Figtnres:
Bathtub
Whirlpool
Lavatory ~_
Toilet - Z
Res. Sink
Bar Sink
Water Heater ~_
O Gas~Ekxt O PwrVnt
Shower _L
Floor Drain
Leary Tray
lab Sink
Plaster Sink
Sten'lizer
Misc_
Fixtures
Electric Contractor
1HK 1H
oN rHe wnrEa
can Basin ~_
Wash Fm
Urinal
Gar Drain
Soda Disp
Coffee Maker
Comm. lee Maker
Site Drain
Roof Drain
Standp Roe
Eye Wash Sm
Wtr Sewer Mss
Deduct Mears
Wtr Usage Mss
OR ^Electric Installation Verification form attached
. (If Rcplacrment) .
r
Use /Nature of Work /~1_•`~ ~r~/£~'°.i~~~u d'~~':A`~:~~~;°,.
Size Material Type # Cona. Type
Sanitary Sewer
Storm Sewer `
Water Service
(920] 235-0282 p.l
„,~~