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Home My WebLink About2008-Plumbing (xtra work)CITY OF OSHKOSH CISHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 3001 S WASHBURN ST Owner BFO FACTORY SHOPPES LLC Contractor JIM'S PLUMBING & HEATING INC Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Valuation Issued By No 131054 Create Date 06/30/2008 Plan Category 440 -Industrial-Interior _ Shower Water Softner Wait. St. Shamp Sink Floor Drain 1 Local Waste Ice Chest Flr/VVst Sink 1 Lndry Tray Clothes Wshr Exam Sink Catch Basin 1 Disposal _ __ Bidet Sculry Sink Wash Ftn Dishwasher Beer Tap Hand Sink Urinal _ Sump Pump Lab Sink Plaster Sink Standp Rec _ Ciassrm Sink Sterilizer Surgeons Sink Ice Maker _ Breakrm Sink Dip Well. F Prep Sink Gar Drain _ Ejector/Grind Drink Ftn 1 Serv Sink 1 Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs 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 W6166 GREENVILLE DR GREENVILLE WI 54942 -9676 Telephone Number 920-757-5258 ~~~~QW~~~ n~spe~cuvns pease can me mspectwn Request Tine 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. $7,800.00 Plan Approval $0.00 permit Fees $35.00 ^ Permit Voided] Date 06/30/2008 06/30/2008 08:17 FAX 920 757 6482 JIM'S PLUMBING ~ 001/001 City of Oshkosh ', Inspection Services Division P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 ~' • Fax: (920)236-5084 - 1 n Pll~r»bfng f~erm~it Apptication I hereby apply for a permit to do aad install the following plumbing on the promises hereinafter described, the work to conform to the Wisconsin State Plumbiag Code, to the porforntaace of which all~parties hereto agree to and arc bound by said statutes. • Applications} and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection services, PO Box 1 I28, Oshkosh WI 54903-1 I28. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the ~normaI permit fee, which ever is greater. OR . Job Address ~~ a / S l~~ ,[ ~ v r Valve (Including labor and rrtatcrisls) '~ ~. •- Date ~ / ~,e/O Owner ~. v,~vt b d ~~; . ~ Contractor '~~, r ~ j I, S ~t~,~-~;. ^Single Family []Du~lez- ]Multi-Fami1 /~ ••• ~~ ~ ~••-~- . • yRental Commr°r~ial ~: '~Industri~I..;'•~::=?~ Number of FIxtiures; ! - Bathtub Disposal ~', Drlnk Fm • • Catch B asiq . Whirlpool Dishwasher ' Wait St . - 1 Lavatory _.L ! Sump Putnp ' . . • Wash Fpt . _ Toilet ice Chest - Urinal Ejector/Grind Exam Sink Gar Dtain Res. Sink Water Sorter Sculry Sink .Soda Di sp Bar Sink Local Waste ', Hand Sink Coffee Maker Watu Heater ~ Clothes Wshr F Prep Sink 0 Gas !(Elect ^ P wrVnt Comm. Ice Maker Shower Bidet Serv Sink ._._L__ Slte Drain Floor Drain $~ Ta I p Int Grease Trap Roof Drain Lndry Tray Clessrm Sink Ext Grease Trap 5tandp Rec Lab Sink Su eons Sink ~ R.P.Z. Valve Eye Wash Stn Plaster Sink Breal¢m Sink Shamp Sink Wtr Sewer Mfrs Sterilizer Di Wett p F1dWst Sink Dcduct Meters Hose Biba Misc. Wtr UsaIIe Mfrs Fixtures ~! Electric Contractor '' ~OR DElectric Installation Verification form attach d I ([f Replacement) e Use /Nature of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service