HomeMy WebLinkAbout2008-Plumbing (grease trap)OSHKOSH
ON THE WATER
Job Address 3105 S WASHBURN ST
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Contractor JT SCHMIDT PLUMBING INC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink'
Sterilizer
Dip Well
Drink Ftn'
Owner EVERGREEN HOSPITALITY LLC
No 130636
Create Date 06/17/2008
Category 431 -Industrial-Exterior (other) Plan
Wait. St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
Shamp Sink
Flr/VHst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs _
Deduct Meters _
Wtr Usage Mtrs
Valuation $2,200.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
Issued By lil/LY!_l7 ' Date 06/17/2008
•,,,.,~
1
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 419 S WASHINGTON ST COMBINED LOCK; WI 54113 - 1049 Telephone Number (920) 788-7314
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 pertormed within two business days from the time the project is ready.
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050 ~~~~~~
Fax:(920)236-5084 ',
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
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 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
If you are a contractor darticipatinQ in the Permit Fee Account Svstem and have adequate funds. check here
if you want this processed through your account
** Advisory -For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) mast be submitted
with the permit application.. Applications submitted without an EN when such is required, will not be
~ / ~~j~rocessed r hermit Issuance and will be re ed for completion.
`17~°' ~'ob Ad~r~~~ J~~J~ S ~~ '~ ~O~ "~
eS5 ~~ t V alUe Includin labor and materials ~ Date ~l
'' ( g ) ~!
Owner ~1~~tJ1QN ~~fcs Contractor .J. rLU/1~- /
^Single Family ^Duplez ^Multi-Family ^Rental commercial ^In rial
Number of Fixtures:
Bathtub Disposal
Whirlpool Dishwasher
Lavatory Sump Pump
Toilet Ejector/Grind
Res. Sink Water Softner
Bar Sink .Local Waste
Water Heater Clothes Wshr
^ Gas ~ Elect 0 PwrVnt Bidet
Shower Beer Tap
Floor Drain Classrm Sink
. Lndry Tray Surgeons Sink
Lab Sink Breakrm Sink
Plaster Sink Dip Well
Sterilizer Hose Bibs
Misc.
Fixtures
Electric Contractor (for projects IpQt ri
Drink Ftn
Wait. St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
F Prep Sink
Serv Sink
Int Grease Trap
Ext Grease Trap
R.P.Z. Valve
Shamp Sink
Flr/Wst Sink
an EIV Form)
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Comm. Ice Maker
Site Drain
Roof Drain
Standp Rec
Eye Wash Stn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Ilse /Nature of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer,.
Water Service
DEPARTMENT OF
COMMUNITY DEVELOPMENT o~~o~
INSPECTION SERVICES DIVISION