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HomeMy WebLinkAbout0132782-PlumbingOSHKOSH ON THE WATER Job Address 101 COURT ST Owner CITY OF OSHKOSH No 132782 Create Date 09/10/2008 Contractor JIM'S PLUMBING & HEATING INC Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Category 440 -Industrial-Interior Plan ZZ3-322-0808-P _ Shower 2 Water Softner Wait. St. Shamp Sink Coffee Maker _ Floor Drain 2 Local Waste Ice Chest Flr/V11st Sink Int Grease Trap 4 Lndry Tray 1 Clothes Wshr Exam Sink Catch Basin Ext Grease Trap 5 Disposal Bidet Sculry Sink Wash Ftn RPZ Valve _ Dishwasher Beer Tap Hand Sink Urinal 1 Eye Wash Statn _ Sump Pump Lab Sink Plaster Sink Standp Rec - Wtr Sewer Mtrs 1 Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs Ejector/Grind Drink Ftn 2 Serv Sink Soda Disp 2 hose bibb Valuation $25,000.00 Plan Approval $0.00 Permit Fees $0.00 ^ Permit Voided Issued By Date 09/10/2008 In the performance of this work, I agree to pertorm all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you pertorm the work described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to secure any necessary approvals before starting such activity. Signature Date Agent/Owner Address W6166 GREENVILLE DR GREENVILLE T.. ..t.~J..,_ WI 54942 -9676 Telephone Number 920-757-5258 . _ __..,,,.,.,,, ...oM~•,~,~„~ r,6a~~ gyp„ ~„~ ,nspeci~on rcequesi une at 136-57 Z$ 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. CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD City of Oshkosh Inspection Services Division P O Bo:: 1130 Oshkosh, WI 54903-1130 Phtme: (920) 236-5050 Fax: (920) 236-5084 RECEIVED SEP 0 8 2008 01HK0 H ON THE WATER Pl u m b~,~Ig,,~~Ti~plpJlication INSPECTION SERVICES DIVISION I hereby apply for a permit to do and install the fo lowing 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 t,~y_ou want this processed through ,your accountT~~ ~~ n~/' - `o //' ~ f'"-C,c, C' W f ** Advisory -For applicable projects, an Electrical Installat><on 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. Job Address 0 ~ v r~ Value (Including labor and materials ~ ~ ~ Date /~ Owner C, ~ ~ ~ ~ C ~ Gw1 Contractor ~mS ~~~~ ~ /~~ .~v c ^Single Family ~ ^Duplex ^Multi-Family ^Rental Commercial ~ ^Industrial Number of Fixtures: Bathtub Disposal Drink Ftn L Catch Basin Whirlpool Dishwasher Wait. St. Wash Ftn Lavatory _~ Sump Pump Ice Chest Urinal Toilet ~_ Ejector/Grind Exam Sink Gar Drain Res. Sink Water Softner Sculry Sink Soda Disp Bar Sink Local Waste Hand Sink Coffee Maker ,DJ' Water Heater ~ Clothes Wshr F Prep Sink Comm. Ice Maker ~' /~ ^ Gas ^ Elect := PwrVnt Sh y Bidet Serv Sink Site Drain ower Beer Tap Int Grease Trap Roof Drain Floor Drain _~ Lnd Tr ~ Classrm Sink Ext Grease Trap Standp Rec ry ay Surgeons Sink R.P.Z. Valve Eye Wash Stn Lab Sink Breakrm Sink Shamp Sink Wtr Sewer Mtrs Plaster Sink Dip Well Flr/Wst Sink Deduct Meters Sterilizer Hose Bibs Z Wtr Usage Mtrs Misc. Fixtures Electric Contractor (for projects not requiring an EIV Form) Use /Nature of Work /~-2ruo c~ Flo ~ 5 ~ ~/~ c ~~ Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service o~/o~