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HomeMy WebLinkAbout0133369-Plumbing (2 roof drain)OSHKOSH ON THE WATER Job Address 537 N MAIN ST Contractor E C MERRILL INC CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work _ Shower _ Floor Drain Lndry Tray _ Disposal Dishwasher _ Sump Pump Classrm Sink Breakrm Sink 2 Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Lab Sink Sterilizer Dip Well Drink Ftn Owner THOMAS N RUSCH Category 440 -Industrial-Interior No 133369 Create Date 10/08/2008 Plan Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Wait. St. Ice Chest Exam Sink Sculry Sink Hand Sink Plaster Sink Surgeons Sink F Prep Sink Serv Sink Shamp Sink FIr/V1lst Sink Catch Basin Wash Ftn Urinal Standp Rec Ice Maker Gar Drain Soda Disp Valuation $2,500.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided Issued By Date 10/08/2008 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 necessary approvals before starting such activity. Signature Date AgenUOwner Address 1018 W SOUTH PARK AVE OSHKOSH WI 54902 - 6192 Telephone Number 235-3600 s~nesawe rnspecnons please can me mspectlon 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. City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 ~~ ~ ` O HE WATER Plumbing Permit Application OCT 8 2008 1 hereby apply for a permit to do and install the following plumbing on the premises hereinafter d ~~~~~~ri t~~vs '~' ~to the Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to an _V~t~SION INSPEC+ iCPr ~ • 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 DarticinatinQ in the Permit Fee Account Svstem and have adequate funds,_ chec__k_here if you want this processed through your account ** Advisory -For applicable projects, an Electrical Installation Verification (E1V) 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 Perm7it Issua/nce~,aAnd will be returned for completion. Job Address ~/ ~ /l(- /~'/~I~ Value (Including labor and materialsJF' ~~U y `~ Date l ~ ~ b v Owner fi~j ~~-nQ/~~-- Contractor ~- c• ~/~~_ !'z n- I ~ ~f ~,/G . ^Single Family ^Duplex ^Multi-Family ^Rental [Commercial ^Industrial Number of Fixtures: Bathtub Disposal Drink Ftn Catch Basin Whirlpool Dishwasher Wait. St. Waslt 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 Water Heater Clothes Wshr F Prep Sink Comm. Ice Maker ^ Gas ^ Elect ^ PwrVnt Bidet Serv Sink Site Drain Shower Beer Tap lnt Grease Trap Roof Drain _~ Floor Drain Classrm Sink Ext Grease Trap Standp Rec Lndry Tray 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 Wtr Usage Mtrs Misc. Fixtures Electric Contractor (for projects not requiring an EIV Form) Use /Nature of Work ~ fLPL r+zr~ ~ ~7~-~n~2 ,aT~~ f ~~/tip d c ~~~~N ~v~~5 Size Material Type # Conn. Type Sanitary Sewer /~~w i°/~eN ` T~ ~ `~ dcv ~ ~~ (- FLo v T~~ ~ 5 Storm Sewer ~` Y~ ~~~`~ Water Service o~/o~