HomeMy WebLinkAbout0131584-Plumbing (interior)OSHKOSH
ON THE WATER
Job Address 1585 S OAKINOOD RD
CITY OF OSHKOSH No 131584
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
Owner LIVING WATER LUTHERAN CHURCH OSHKO~ Create Date 07/16/2008
Category 440 -Industrial-Interior
_ Shower Water Softner Wait. St. Shamp Sink
_ Floor Drain 2 Local Waste Ice Chest Flr/Vllst Sink
2 Lndry Tray Clothes Wshr Exam Sink Catch Basin
3 Disposal Bidet Sculry Sink Wash Ftn
2 Dishwasher 1 Beer Tap Hand Sink Urinal
1 Sump Pump Lab Sink Plaster Sink Standp Rec
1 Classrm Sink Sterilizer Surgeons Sink Ice Maker
2 Breakrm Sink Dip Well F Prep Sink Gar Drain
_ Ejector/Grind Drink Ftn 1 Serv Sink 1 Soda Disp
3 silcock
Valuation $17,000.00 Plan Approval $0.00 Permit Fees
Issued By
Date 07/16/2008
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 applignt 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
i o scneau~e ~nspect~ons 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.
Plan Y8-312-0608-P
.Coffee Maker
_ Int Grease Trap
Ext Grease Trap
_ RPZ Valve
1 Eye Wash Statn
_ Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
$140.00 ^ Permit Voided
Permit App Plumbing
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920)236-5084
~~~
JUL 16 2008
DEP,4RTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
Plumbing Permit Apulication
Page 1 of 2
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 $100.00
plus the normal permit fee, which ever is greater.
OR
If you area contractor narticinatina in the Permit Fee Account System and have
adequate funds, type YES if yov want this processed through your account
Job ~'w ''`~ a~ Value
Address 1 S8 5 S vakw.oT>;9.. Q._.Q . •..,,. (Including labor 1~~~ Date _ - l S- O
and materials)
Owner ~,~_W , _ _ C~.cuaG.._,_,_ Contractor Sca•t.,,.a.~ ~
Gm~eO ~ ~ ~ ~
Use Category: -~ v'Z't,3//$-
~` Single Family C; Duplex ~? Multi-Family ~ Rental `~ Commercial
C Industrial
Number of Fixtures:
Bathtub ~-~.~
Whvlpool ~~
Lavatory
Toilet
Res. Sink ~~-~~
Bar Sink I • 1
WatecHeater ~~
Disposal ~""-~
Drink Ftn
Wait. St. -. ~
Ice Chest
Exam Sink
Sculry Sink
Hand Sink "~
F Prep Sink --
Serv Sink
Int Grease
Trap
Ext Grease(
Trap L
Catch Basin
Wash Ftn _.
Urinal
Gar Drain
Soda Disp
Coffee Maker
Dishwasher ~~
Sump Pump ~-
Ejector/Grind
Water
Softener
.Local Waste
C` Gas Electric Clothes Wshr 1 - ~
PwiVnt
Shower ~~..J
Floor Drain ~~
Laundry-Tray ~~
Lab Sink
Bidet ~..._~_.~._d
Beer Tap
Classrm Sink (---~
Surgeons Sink
R,P.Z. Valve
Comm. Ice
Maker __........""........_...
Site Drain
Roof Drain ~r
Standp Ree ~-?
Eye Wash Stn ~-
http:/hvww.ci.oshkosh.wi.us/community development/inspections/permit app plumbing 2... 7/8/2007
Permit App Plumbing
Plaster Sink ~` Breakrm Sink ._, Shamp Sink
................I
Sterilizer ~~ Dip Well .~- V 1 FldWst Sink
Hose Bibs
Misc. Fixtures ~~ ~~....X. ~,.__?.. ~.._`~o..'_
Electric Contractor ,~ ___ ___ ~ ,~_,_____,_,_ _ _,_
Page 2 of 2
Wtr Sewer ~_
Mtrs ._...... .... _
Deduct ("~'"'""""~
Meters ~ _
Wtr Usage ....
Mtrs w_....,...._,.,~.~
Permits requiring an Electric Installation Verification form can not be processed by e-mail since both
the application and EIV form must be submitted together. You may print these forms and submit them
together by coming to our office, mailing them or faxing them together at 236-5084.
Use /Nature of Wor
Size Material Type # Conn. Type
(''~'~
Sanitary Sewer ........._ ~ I _ _ ` ~ _..
__..
.~ ~.__._.~.__~.....r ~._.,._,...,,..M
Storm Sewer ` '
Water Service ----~ ---.__ I _-_..r_, __...~..~
httnalwww.ci.oshkosh.wi.uslcommunity develovment/insnections/Hermit ann nlumbins 2... 7!8/2007