HomeMy WebLinkAbout2008-Plumbing (RPZ valves)OSHKOSH
ON THE WATER
Job Address 2100 S OAKWOOD RD
Contractor RJ PLUMBING LLC
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
Valuation
Issued By
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner F & S OSHKOSH LLC
Category 440 -Industrial-Interior
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap '
Lab Sink
Sterilizer
Dip Well '
Drink Ftn
Wait. St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
Shamp Sink
FIr/V1Ist Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
No 131952
Create Date 07/31/2008
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve 2
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 E1986 CARSON RD WAUPACA ! WI 54981 - 0000 Telephone Number 715-256-3495
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 Box1130
Oshkosh, WI 54903-1130
Phone: (920)236-5050
F 920 236-5084
~~/
ax. ( ) ~ l A~l..t! ~ l
S~'-fH w'€~a ~i --
Plumbing Permit Application
I hereby apply for a permit to do and install the following phunbing 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 bour>d by said statutes.
• Applicatiot~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. ' f
OR I
** Advisory -For applicable projects, an Electrical Installadon Verification f d b the Electrical
~~ ~ sigr-e Y
Contractor or Homeowner (for ir~stallatiom allowed to be performed by the homeowner) must be submitted
with the permit application Applications submitted without an EIV when such is required, will not be
pad for Permit Iaguanc/e and w~l,~be returned for completion
Job Address ~~~ ~ ~.41~ +/~~ 1 `~ Value (Incluaiu8l~uor snd mate,i.t.~"~ rk-r~; or Date 7 ~ 9-
Owner ~SS/~~ ~'lef . I ~ 6. Contractor /Q uhl -b ~ , ~~-~
[Single Family ODupkz []Multi-Family [7Rental ~Co rcial Industrial
Number of Fixtures:
Bathtub Disposal ~ I Drink Fla Catch Bann
Whirlpool Dishwasher ~ Wait. Sk Wash Ftn
Lavatory Sump Pump ', ~ Ice Chet Urinal
Toget Ejector/Grind I ~ Exua Sink Gar Drain
Ras. Sick Water Softest ~ Sculry Sink Soda Disp
Bar Sick Local Waste ~I Hand Sink Coffee Make'
Water Heater Clothes Wshr ~ F Prep Sink Comm. Ice Maker
U Gas U Elect U PwrVnt Bidet ~ Say Sink Site Drain
~Ot°m Beer Tap I' i Int Gaxse Trap Roof Drain
Floe Drain Clasenn Sick ~ Ext Grease Trap Stsndp Rec
Lndry Tray Surgeons Sink ~ ~ R.P.Z. Valve ,,,~_ Eye Wash Stn
Lab sink Bieakrm S;°k '' shamp sink Wtr sewer Mtrs
PLatar Smk Dip Well I F1r/Wst Sink Dodnct Meoen
Sterilizer H~ Bps ~ Wtr usage Mhs
Milo.
Fixture
I
Electric Contractor (for projects not requirin g an EIV Form)
Use /Nature of Work
Size Material Type # Conn. Type
Sanitary Sewer ', ~ ~ ~ ~ ' `~ ',
m
r ~` r r~
Storm Sewer ~ .r,+ ~ ;~ ~ ~ .
JUL 31 2008
Water Service ',
COMMUf~irTY [3c.'1F_?_~1~'ti1ENT
INSPECTIOPs SER'~ICi:.`~ ~5z'~?SION
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