HomeMy WebLinkAbout0132835-Plumbing (laterals)OSHKOSH
ON THE WATER
Job Address 101 COURT ST
Contractor 4 WAY CONSTRUCTION
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Owner CITY OF OSHKOSH
No 132835
Create Date 09/12/2008
Category 430 -Industrial-Exterior (laterals) Plan ZZ3-322-0808-P
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest Flr/Vllst Sink
Lndry Tray Clothes Wshr Exam Sink Catch Basin
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
Ejector/Grind Drink Ftn Serv Sink Soda Disp
Valuation $12,800.00
Issued By
Date 09/12/2008
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) a~ecure a~ny~ ary a royals before starting such activity.
Signature ~ ~1 `/m~~~~~ ~ Date ~f_ / ~ ../~ C~
AgenUOwner
Address P.O. BOX 133 BERLIN
T.. .L.-l..~_
WI 54923 - 0133 Telephone Number 920-361-1403
• _ ---••_~~•~ •••~r~~••~~~~ r~aa~~ ~a~~ «~~ inspection reequest une at Z3ti-57 z$ 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.
Plan Approval $0.00 Permit Fees $0.00 ^ Permit Voided
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
WARD: ~.~1
DATE: ~-~~- h
DHL#:
WORK DONE• ~4 /~~? ,~' `~ C'~j`°' ; n ~~ ~~ i~ yY1,_ : n
~'
INV#: QTY: PARTS:
~ ~-
TAP
CUT-IN ~
SIZE:
CONTRAC>> TOR:
racer bC+c• ~'
MEASUREMENTS:
/39 ' ~ o~'~c/ C'~ t,,o e~
,--
PERMIT#:
BLACKDIRT: YES T(
CONCRETE: YES i~
DETAILS:
GRAVEL: ^-
REMARKS: P~erm~-~~ aat3a
WORKERS:. ~~- ~_
~ ~ ~o~ '~ / ~ ~~