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