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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 ! ~(.~ ~.J~ o~io~