HomeMy WebLinkAbout0131524-Plumbing (2 toilets & 2 lavs)/~"~ CITY OF OSHKOSH
OSHKOSH PLUMBING. PE RMIT -APPLICATION AND RECORD
ON THE WATER '~
Job Address 3675 N MAIN ST Owner TREMBLY LEASING LLC LIVING TRUST
Contractor D R GLAZE PLUMBING ~, Category 440 -Industrial-Interior
Bathtub Shower Water Softner Wait. St. Shamp Sink
Whirlpool Floor Drain Local Waste Ice Chest Flr/V1Ist Sink
Lavatory 2 Lndry Tray Clothes Wshr Exam Sink Catch Basin
Toilet 2 Disposal Bidet ~~ Sculry Sink Wash Ftn
Res. Sink Dishwasher Beer Tap', Hand Sink Urinal
Bar Sink Sump Pump Lab Sink's Plaster Sink Standp Rec
Water Heater Classrm Sink Sterilizer'
I Surgeons Sink Ice Maker
Site Drain Breakrm Sink II
Dip Well F Prep Sink Gar Drain
Roof Drain Ejector/Grind Drink Ftn~' Serv Sink Soda Disp
Misc.
Fixtures
Use/Nature Replace lav and toilet in the men's & women's'restrooms.
of Work !,
Size; Material Type # Conn. Typ
Sanitary Sewer i,
Storm Sewer
I
Water Service
I
No 131524
Create Date 07/14/2008
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Parcel Id #
1519605400
Valuation $2,000.00 Plan Approval I $0.00 Permit Fees $28.00 ^ Permit Voided
Issued By ~/~~'Yt/J I' Date 07/14/2008
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
Address 1865 JAMES RD
Agent/Owner
OSHKOSH
WI 54904 - 6873 Telephone Number 920-589-4014
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address. Permit Number. Tvoe 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.
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- JULY 4 2008
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COMMUNITY DEVE~.O6'MENT
INSPECTION SERVICES DIVISION