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
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