HomeMy WebLinkAbout0132744-Plumbing (laterals)~1
OSHKOSH
ON THE WATER
Job Address 2875 ATLAS AVE
Contractor 4 WAY CONSTRUCTION
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
CITY OF OSHKOSH
No 132744
PLUMBING PERMIT -APPLICATION-AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Valuation
Issued By
Water Softne
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab-Sink
Sterilizer
Dip WNI
Drink Ftn
Date 09/08/2008
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 necessar~„a oval re rting such activity.
Signature Date
Address P.O. BOX 133
Owner 4 IMPRINT INC Create Date 08/13/2008
Category 430 -Industrial-Exterior (laterals) Plan ZZ5-324-0808-P
Wait. St. Shamp Sink Coffee Maker
Ice Chest Flr/Vllst Sink 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 Deduct Meters
F Prep Sink Gar Drain Wtr Usage Mtrs
Serv Sink Soda Disp r
WI 54923 - 0133 Telephone Number 920-361-1403
~ o scneauie 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.
$23,000.00 Plan Approval $0.00 Permit Fees $100.00 ^ Permit Voided
WARD:_L~~
DATE: ~' y'-~6 - or4''
DHL#:
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WORK DONE: ~'lw ll~ /0 " CST .` ~ a-~, {~(~ `~ /Yl~•-:~
TAP
CUT-IN ~
SIZE: /~
CONTRACTOR:
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INV#: QTY: PARTS:
MEASUREMENTS:
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PERMIT#: '-
BLACKDIRT: YES
CONCRETE: YES
DETAILS:
GRAVEL:
REMARKS:
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WORKERS: S'f~' !3 -'
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