HomeMy WebLinkAbout0131083-PlumbingCITY OF OSHKOSH
OSHKOSH PLUMBING PERMIT -:APPLICATION AND RECORD
ON THE WATER
Job Address -1995 MENARD DR
Contractor R J PARINS PLUMBING AND 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
Shower Water Softner
_ Floor Drain 2 Local Waste
Lndry Tray Clothes Wshr
_ Disposal Bidet
Dishwasher Beer Tap
_ Sump Pump Lab Sink
Classrm Sink Sterilizer
Breakrm Sink Dip Well
Ejector/Grind Drink Ftn
2 smoothie & juice d ispensers
Date 06/30/2008
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 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 2860 W MASON GREEN BAY
No 131083
Create Date 06/30/2008
Plan
Wait. St. Shamp Sink Coffee Maker
Ice Chest FINVIIst Sink 1 Int Grease Trap
Exam Sink Catch Basin Ext Grease Trap
Sculry Sink Wash Ftn RPZ Valve
Hand Sink Urinal Eye Wash Statn
Plaster Sink Standp Rec Wtr Sewer Mtrs
Surgeons Sink ~ Ice Maker 1 .Deduct Meters
F Prep Sink Gar Drain Wtr Usage Mtrs
Serv Sink Soda Disp 1
WI 54313 - 0000 Telephone Number 920-494-9159
~ v scneau~e inspec><ions please call the Inspection Request line at 238-5128 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.
Owner MCDONALDS CORP
Category 440 -Industrial-Interior
3
$3,200.00 Plan Approval $0.00 Permit Fees $70.00 ^ Permit Voided
~Y ~' J i 7V 1 ~
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- ...- : (vices Division
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~% ~ ,~ ; ~i :54963_ 1130
Saone: ;~zn) z36,~oso JUN 3 0 2008
>+~~tx: (920) 236-5084 '
oEa~,~ r r~rr~~I os` ON Trig WAIFe
COMMU!VITY DEVEl_O~ME~VT`
INS~EC:i~I01~ `~~RUI FS vIVISION
Plumbing ~~~rmlt App~i~~l~ion
ht-reby 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 al! parkies hereto agree to and are bound by said stattttes.
' ''." ~ ~ ~atio:~(s) and fee(s) can be brought to City HaII, Room 205 or mailed to Inspection Services, l'O Box 11213,
':?s nosh Viii 54903-1 ] 28. Commencing work without permii~(s) will result in fees being doubled or $ l 00.00 plus the
normal pernut fec, which cvc,~r is grcatc,~-.
OR
~vou are ~ contractor na_,~rtici~q.ting,in„the_Pe.rm_it Fpe tl •c
~~ Npzr want this :7rocessec~ thrUUYh your accnttrl ~"~~~ Systettf and have adeuuate furidsl r.keck here
sob ~ ~~~
A~ti~ress_~~ 1~ /~,-CY~a, f ~ '~7dlu~ (~cludingiaborand matrri~ls
+~.ld 5 _ ~ ~ nilt~ l~ - ~~ b ~
Owner t:ontractor ~ ~ {/~ r ~ ~
~~ {' -~~'~' ~'ar..niily []Duplex [Multi-Family ~ ~ []Rental (Commercial [industrial
j - ~ ~o~-~t~~ ~- Edda fo u~~-
'~Tumbcr of i±tixtvres: ~ - ~a~~~ ~-- l ~-C /YI~~~~~
Uispnrsl Urink Hln
~~iliripcol (:etch t3atin
LJishwaahcr Wait. $t
?v?tOrv Wash Ftn
--- Sump Pump Ice (,:hart
TOilct ~~ ~ Urinal
1sjcctnrft hind Hxam Sink
Res. Sink I (iar Ihain
Water Snftner Sculry Sink
~3al' Slni; ~ tinda I)isp
Lncal Wastc Hand Smk
_ C:inthas Wshr F Prep Sink
'<s -. .:.cxa U Pw'Vtit lcc Mskcr
t31dCt
~..:•,1'Cf I $crv$ink Sitc Ihain
• ' HGer I ap
FtoorDtain ,~_ IntCircasc'I'rap Ftnoft)rsin
(;1a95rm Sink $~ (ircasc Tra
I.ndry T:hy P Srandp Rcc
?.ab Sint; Surgcona Sink '~ R.P.T... Vatvc
~ F,yc Wash Stn _
E3t+~kt'm Sink $hamp Sink
Piaster ~ ntk Wtr Scwcr 144trs _
S, .,. Dip Weli '~, ....._,._ P1r/WstSiltk
r[7elZe"
Misc. 1 -F'lo~~ si n I ~- ~I UCI~U(a MCLCTS --
Wtr Lisage Mtrs
,r,~^Ft..:~ Conl;ractor
,~ QElectric Installation Verification Tarim attached
(tf i2caiac:ernettq
-- ~I
= ,,: ! Iatvre oi' Work
Size Materialw~~^
;`='"i'~ary Sewcr YPe ~ Conn. Typc
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' ~ -.Tx S ~ti~~er. ~
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