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HomeMy WebLinkAbout0138677-Plumbing (interior alterations)0 OSHKOSH ON THE WATER Job Address 2737 HARRISON ST Contractor LEE PLUMBING INC Bathtub Clothes Wshr Shower Lndry Tray Whirlpool Sump Pump Lavatory I San Sump /Pump Toilet 4 Water Softner Kit Sink Standp Rec Disposal Gar Drain Dishwasher Local Waste Floor Drain 4 Bar Sink Hose Bibb Breakrm Sink Water Heater 1 Use /Nature of Work CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Classrm Sink Exam Sink F Prep Sink 1 FlrfWst Sink Hand Sink Lab Sink Plaster Sink Sculry Sink Sery Sink Shamp Sink Owner OSHKOSH CORPORATION No 138677 Create Date 10/19/2009 Category 442 - Com'I /Ind- Interior (New /Relocated Fixture Plan Surgeons Sink Roof Drain Deduct Meters Sterilizer Soda Disp Wtr Sewer Mtrs RPZ Valve Coffee Maker Wtr Usage Mtrs Bidet Site Drain Misc. Urinal 1 Wait. St. Fixtures Beer Tap Ice Chest Dip Well Comm Ice Maker Drink Ftn 1 Int Grease Trap Wash Ftn 1 Ext Grease Trap Catch Basin Eye Wash Statn Valuation $19,000.00 Plan Approval $0.00 Permit Fees $98.00 ❑ Permit Voided Issued By Date 10119/2009 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 1316 N RICHMOND ST _ APPLETON WI 54911 -3548 Telephone Number 920 - 882 -2215 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 performed within two business days from the time the project is ready. City of Oshkosh Inspection Services Division P O Box 1 130 Oshkosh, W154903 -1130 Phone: (920) 236-5050 Fax: (920) 236-5084 OCT U'� f 9 W HKO-fH ON THE WATER Plumbing Permit Application} I hereby apply for a permit to do and install the following plumbing on the premisetr to 6naft&described, the wori k €o- '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 If you are a contractor narticinatinz in the Permit Fee account System and have adeauate funds. check here it you tt�ant this Processed through your account ** Advisory - For applicable projects, an Electrical Installation Verification (EIV) 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 EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. NAQ !e/ -soN S�— PLAN+/ jl Job Address 6 L D n * 2_ Value (Including labor and materials) % Ob O Date %G //9 G Owner QSN KGsfl 71ZO /e, Contractor Lee's Pi,," b a,..Q ❑Single Family ❑Duplex ❑Multi - Family ❑Rental Commercial ❑Industrial Number of Fixtures: Bathtub Sump Pump Plaster Sink Roof Drain Shower San. Sump /Pump � Scullery Sink Soda Disp Whirlpool Water Softener Service Sink Coffee Mkr Lavatory I Standpipe Rec Shamp Sink Site Drain Toilet Garage FD Surgeons Sink Waitrs Stn Fait Sink Local Waste Sterilizer tee Chest Disposal Bar Sink RPZ Valve Comm ice Maker Dishwasher Breakrm Sink Bidet Int Grease Trap Floor Drain ._ Classrm Sink Urinal r Ext Grease Trap Hose Bibb Exam Sink Beer Tap Eye Wash Stn Water Heater F Prep Sink Dipper Well Deduct Meter GasxElect PwrVnt Floor Sink Drink Fntn tin Wtr Sewer Mtr Clothes Wshr Hand Sink _ Wash Fntn Wtr Usage Mtr Lndry Tray Lab Sink Catch Basin Misc Fixtures Electric Contractor (for projects not requiring an EIV Form) Use / Nature of Work 17 dr s rro 0A-IL '9 161 Z Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service 06/05