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~