HomeMy WebLinkAbout0134256-Plumbing (eye wash station)~-1
OSHKOSH
ON THE WATER
Job Address 1005 HIGH AVE
Contractor AUGUST WINTERS CO
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner AXLETECH INTERNATIONAL INC
Category 440 -Industrial-Interior
No 134256
Create Date 12/03/2008
Plan
Shower Water Softner Wait. St. Shamp Sink Coffee Maker
Floor Drain Local Waste Ice Chest Flr/VUst Sink int Grease Trap
Lndry Tray Clothes Wshr Exam Sink Catch Basin __ 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 Ice Maker Deduct Meters
Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
EjectorlGrind Drink Ftn Serv Sink Soda Disp
1
Date 12/03/2008
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
Agent/Owner
Address PO BOX 1896 APPLETON WI 54912 - 0000 Telephone Number 739-8881
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 specified 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.
$750.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided)
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920)236-5050
Fax•(920)236-5084
RECEIVE
DEC 0 3 2008
DEPARTMENT OF
Plumbing Permit ~~'b~~VELOPMENT
>~V~CES DIVISION
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
** Advisory -For applicable projects, an Electrical Installation Verification (EIS form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) mast be submitted
with the permit application. Applications submitted without an EN when such is required, will not be
processed for Pernut Issuance and will be returned for completion.
oms u:~-, Ave .
Job Address Osti 1Ccs~.. cs~r :~-1901 Value (Including labor^and materials) ~5~.°~ Date ~ .[
Owner ~xleTcch ~~-I-. Contractor ~"t -t ~'~ ~'~Ns
^Single Family ^Duplex ^Multi-Family ^Renta ^Commercial Industrial
Number of Fixtures:
Bathtub Disposal Drink Ffi Catch Basin
Whirlpool Dishwasher Wait. St. Wash Ffi
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 Int Grease Trap Roof Drain
Floor Drain Classrm Sink Ext Grease Trap Standp Rec ~
~
Lndry Tray Surgeons Sink R.P.Z. Valve Eye Wash Sfi
pZ~
Lab Sink Breakrin Sink Shamp Sink Wtr Sewer Mfrs
Plaster Sink Dip Well Flr/Wst Sink Deduct Meters
Sterilizer Hose Bibs Wtr Usage Mfrs
Misc.
Fixtures
Electric Contractor (for projects not requiring an EIV Form)
Use /Nature of Work ~eo`I~k eVt,~as1'~ S~.,k-'oa
-T--r
Size Material
Sanitary Sewer
Storm Sewer
Water Service
Type # Conn. Type
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