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Home My WebLink About0133103-Plumbing (2 catch basins)OSHKOSH ON THE WATER Job Address 400 CITY CENTER Contractor HANNA EXCAVATING CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures UselNature of Work Owner CITY CENTER ASSOCIATES LLC Category 431 -Industrial-Exterior No 133103 Create Date 09/25/2008 Plan Shower Water Softner Wait. St. Shamp Sink Coffee Maker Floor Drain Local Waste Ice Chest FIrIVVst Sink Int Grease Trap ____ Lndry Tray Clothes Wshr Exam Sink Catch Basin 2 Ext Grease Trap Disposal Bidet Sculry Sink Wash Ftn RPZ Valve _ _ Dishwasher Beer Tap Hand Sink Urinal Eye Wash Statn Sump Pump Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs Classrm Sink Sterilizer Surgeons Sink tce Maker _ Deduct Meters Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs Ejector/Grind Drink Ftn Serv Sink Soda Disp Valuation $5,000.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided Issued By Date 09/25/2008 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 per it application within an easement, the City strongly urges the permit applicant to contact the easement holder ) a d to secure any n ssary approvals before starting such activity. Signature ~G'~ Date 9 Z~ ~g Address `2781 VILLAGE LN ~~ Agent/Owner OSHKOSH WI 54904 - 0000 Telephone Number 235-6450 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 specii•ied otherwise, we will assume the project is ready at the time the request is received. Work may continue if the inspection is not pertormed within two business days from the time the project is ready. City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920)236-5084 Plumbing Permit Application Z OHKOH ON THE WATER 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 adequate funds, check here if you want this processed through your account n ** 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 EN when such is required, will not be processed for Permit Issuance and will b returned for completion. ~ ~ ° Job Address ~O ~ Value (Including labor an aterials) ~ ~ Date ~'~~ D~ r Owner _ Contractor G ^Single Family Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater ^ Gas ~] Elect ~ PwrVnt Shower Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Electric Contractor (for Use /Nature of Work ~'~~ ~~~ ~ Catch Basin Wash Ftn Urinal Gar Drain Soda Disp Coffee Maker Comm. Ice Maker Site Drain Roof Drain Standp Rec Eye Wash Stn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs e Size Material Type # Conn. Type Sanitary Sewer Storm Sew ~8 ~ ~CY~ ~,S~C,(%'~Ul/l ~ Water Service ^Duplex Disposal Dishwasher Sump Pump Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Classrm Sink Surgeons Sink Breakrm Sink Dip Well Hose Bibs Drink Ftn Wait. St. Ice Chest Exam Sink Sculry Sink Hand Sink F Prep Sink Serv Sink Int Grease Trap Ext Grease Trap R.P.Z. Valve Shamp Sink Flr/Wst Sink not requiring an EIV Form) ^Multi-Family ^Rental Comm~erc~ial Industrial c>W G~-. " I o~/o~