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Home My WebLink About0132552-Plumbing (restroom alterations)OSHKOSH ON THE WATER Job Address 100 W FERNAU AVE CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Owner LAKESIDE PACKAGING PLUS INC No 132552 Create Date 08/20/2008 Plan Contractor RJ KAMPO PLBG Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures UselNature of Work Valuation Issued By Category 440 -Industrial-Interior Shower Water Softner Wait. St. Shamp Sink Floor Drain Local Waste Ice Chest FIr/Wst Sink 4 Lndry Tray Clothes Wshr Exam Sink Catch Basin 5 Disposal Bidet Sculry Sink Wash Ftn _ Dishwasher Beer Tap Hand Sink Urinal Sump Pump Lab Sink Plaster Sink Standp Rec _ Classrm Sink Sterilizer Surgeons Sink Ice Maker _ Breakrm Sink Dip Well F Prep Sink Gar Drain EjectorlGrind Drink Ftn Serv Sink Soda Disp Date 08/28/2008 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 1000 S WESTLAND DR APPLETON Coffee Maker int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs WI 54914 - 8862 Telephone Number 730-9600 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 performed within two business days from the time the project is ready. $5,750.00 Plan Approval $0.00 Permit Fees $63.00 ^ 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 Page 1 of 2 AUG 2 8 2008 DEP~,RTMENT OF COMMUNITY I~EVELOPP~lENT INSPECTION SERVICES DIVISION Plumbing Permit A~~lication 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 $100.00 plus the normal permit fee, which ever is greater. OR If you are a contractor participating in the Permit Fee Account System and have adecTUate funds, type YES if you want this processed throucTh your account ** Advisory -For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted with the permit application. Applications submitted without an EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. Value Address 100 FERNAU ' (Including labor and 5750.00 Date! 8/19/08. materials) _. Owner LAKESIDE PACKAGING ~~, Contractor ', RJ KAMPO PLBG & HTG ~/ Use Category: O Single Family Q Duplex CQMultI-Family a Rental +~ Commercial OIndustrial ~ ~~ Number of Fixtures: Bathtub ~, Disposal Whirlpool Dishwasher Lavatory 4 ,, Sump Pump Toilet 5 Ejector/Grind i Res. Sink Water Softener Bar Sink ' Local Waste Water Heater Q Gas Q Electric Clothes Wshr PwrVnt Shower Bidet Floor Drain ~ Beer Tap Drink Ftn Catch Basin Wait. St. Wash Ftn Ice Chest Urinal Exam Sink Gar Drain Sculry Sink ', Soda Disp Hand Sink ' Coffee Maker F Prep Sink ! Comm. Ice ; Maker Serv Sink Int Grease Trap Site Drain Roof Drain http://www.ci.oshkosh.wi.us/Community_Development/Inspections/Permit App_Plumbin... 8/19/2008 Permit App Plumbing ~ Y Laun Tra Classrm Sink Ext Grease ! Trap _ I Lab Sink Surgeons Sink R.P.Z. Valve Plaster Sink Breakrm Sink Shamp Sink Sterilizer Dip Well Flr/VVst Sink Hose Bibs Misc. Fixtures Page 2 of 2 Standp Rec Eye Wash Stn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Electric Contractor (for projects not requiring an EVI Form) _ r _.~ Use /Nature of Work REMODEL RESTROOMS A~G 2 8 2~~$ COMMUNITY DEVELOPME Size Material Type # INSPECTI~i~!'9E~Y1g~ES t7IVl Sanitary Sewer Storm Sewer Water Service __ .Submit .Reset N http.//www.ci.oshkosh.wi.us/Community_Development/Inspections/Permit App_Plumbin... 8/19/2008