HomeMy WebLinkAbout0134236-Plumbing (RPZ valve)OSHKOSH
ON THE WATER
Job Address 333 W 29TH AVE
Contractor LEE PLUMBING INC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
Owner OSHKOSH CORPORATION
Category 440 -Industrial-Interior
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest Fir/Wst 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
Date 12/02/2008
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 applicatiotl. asement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary royals before starling such activity.
Signature ~ ~„ 0 ~~ _,~ Date ~2 - 2 - l~ ~/
~-o Agent/Owner
Address 1316 N RICHMOND ST APPLETON
WI 54911 - 3548 Telephone Number 920-882-2215
r o scneauie mspecuons 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 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
No 134236
Create Date 12/02/2008
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
$800.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
c;Aug.24. 2007 6:55AM
Inspection Services Division
P 0 Box 1130
Oshkosh, WI 54903-1130
Phone: (920)236-5050
F.ax: (920) 236-5054
inspection services
Plumbing Permit Application
No, 4579~P. 2
~ ~
Ol~HK01H
ON TF3E WATCR
I hereby apply for a permit to do and instal! the following plumbing on the premises hereinafter described, the: work W 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 Rax [ 128, Oshkosh WI
54903-I 128. Commencing work without permit(s) will result in fees being doubled or $loo.po plus the normal permit fce, which
ever is greater. .
OR
If you are u contractor participating in the Permit Fee Account Systehr and have adequate funds, ehee~F here
if you wan! [his processed through vour account
** Advisory* -For applicable projects, an Electrical Xnstallation Verification (Elm form, signed by the Electrical
Contractor or I~omeowner (for installations allowed to be performed by the homeowner) must be submitted
with the permit application. Applications snbnxl,itted without an EIV when such is regecired, will not be
processed for Permit Issuance and will be returned for completion.
Job Address `3 W . ~~ T~~ USNf~6S~ V lue ( ~m~~orand~t~rial~ti ~Uy ~~----- Date Z ~2 - ~ ~
3~~ -
Owner (9s~icoSb~ Gt~/L~. Contractor~S (4 t-v w/~ ~r-e-
^Single Family ^Duplex []Multi-Family ^lE2entstl ^Commercial ~'Indnstrial
Number of Fiixtures:
Rathtµh Disposal
whirlpool Dishwasher
Lavatory Sump Pump
Toi[ct Ejector/Grind
Rcs, Sink Water Softaer
Bar Sink Local Waste
waur Heater Clothes Wshr
lJ Gas ~ Elecl ~ PwrVnt Bidet
Shower Beer Tap
Floor Drain Classrm Sink
Ladry Tmy Surkeoas Sink
Lab Siak Breakrm Sink
Plaster Sink _.,_,,.- fjip Well
Sterilizer ~,.- Hose Bibs
Misc.
Fixtures
Drink Fta Catch Basin
Watt. St. ,, wash Ftn
fee Chest Urinal
Exam Sink Gar plain
Sculry Sink Soda Uisp
Hand Sink Coffee Maker
F Prep Sink Comm, tee Maker
Scrv Sink Site ()rain
Inl Grease Trap Roof [pain
Ext Grease Trap Standp Rco
R.P.Z. Valve Eye Wash Stn
~,,,,~ Shamp Sink Wtt Scwcr Mns
~,,,,,- rtr/Wst $ink _ _ Deduct Meters
_,~,.- Wtr Usage Mtrs
Electric Contractor (for projects not requiring an EIV Form)
Use /Nature of Work ~ KQ ~' ;ST~'~cr- ~ I~t~ (2 ~• UvT 0'~ ~-~'LV~ ~~P ¢ Q~'t`S T-~ #` ~~2 it2~ ~N LT S
Size Material 'T'ype # Conn. 't'ype
Sanitary Sewer
Storm Sewer
Water Service
P V~C~
a~Io~