HomeMy WebLinkAbout0139228-Plumbing (valves)OSHKOSH
ON THE WATER
Job Address 2737 HARRISON ST
Contractor BASSETT MECHANICAL
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Bathtub
Clothes Wshr
Classrm Sink
Shower
Lndry Tray
Exam Sink
Whirlpool
Sump Pump
F Prep Sink
Lavatory
San Sump /Pump
Flr/Wst Sink
Toilet
Water Softner
_ Hand Sink
Kit Sink
Standp Rec
Lab Sink
Disposal
Gar Drain
Plaster Sink
Dishwasher
Local Waste
Sculry Sink
Floor Drain
Bar Sink
Sery Sink
Hose Bibb
Breakrm Sink
Shamp Sink
Water Heater
Auto fill valve
Use /Nature Hook up 3/4" RP valve and auto fill valve.
of Work
Valuation $15.000.00
Issued By
Owner OSHKOSH CORPORATION
No 139228
Create Date 12/11/2009
Category 442 - Com'I /Ind- Interior (New /Relocated Fixture Plan
Surgeons Sink
Roof Drain
Deduct Meters
_ Sterilizer
Soda Disp
Wtr Sewer Mtrs
RPZ Valve
1 Coffee Maker
Wtr Usage Mtrs
Bidet
Site Drain
Misc.
Urinal
Wait. St.
Fixtures
Beer Tap
Ice Chest
Dip Well
Comm Ice Maker
Drink Ftn
_ Int Grease Trap
Wash Ftn
Ext Grease Trap
Catch Basin
Eye Wash Statn
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Parcel Id #
1519600000
Date 12/11/2009
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 PO BOX 7000 KAUKAUNA WI 54130 -7000 Telephone Number 800 - 236- 2502 = =920-
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.
i]
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903 -1130
Phone: (920) 236-5050
Fax: (920) 236 -5084 (, r 1�/
01 H
v ✓ON
ON WATER
Plumbing Permit Application
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
If you are a contractor participating in the Permit Fee Account System and have adequate funds check here
if you want this processed through your account n
** 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.
Job Address 2737 Harrison St. Value (Including labor and materials) $15,000.00 Date 12 -4 -09
Owner Oshkosh Truck Contractor Bassett Mecha i cal
❑Single Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial X❑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
Standpipe Rec
Shamp Sink
Site Drain
Toilet
Garage FD
Surgeons Sink
Waitrs Stn
Kit Sink
Local Waste
Sterilizer
Ice Chest
Disposal
Bar Sink
RPZ Valve X
Comm Ice Maker
Dishwasher
Breakrm Sink
Bidet
Int Grease Trap
Floor Drain
Classrm Sink
Urinal
Ext Grease Trap
Hose Bibb
Exam Sink
Beer Tap
Eye Wash Stn
Water Heater
F Prep Sink
Dipper Well
Deduct Meter
1 Gas ❑ Elect ❑ PwrVnt
Floor Sink
Drink Fnm
Wtr Sewer Mtr
Clothes Wshr
Hand Sink
Wash Fnm
Wtr Usage Mtr
Lndry Tray
Lab Sink
Catch Basin
Misc Fixtures
Electric Contractor (for projects not requiring an EIV Form)
Use / Nature of Work Hooking up 3/4" RP valve and auto fill valve
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer RECEIVE
Water Service
DEC 0 9 2009
X
DEPARTMENT OF
COMMUNITY DEVELOPMENT
T�.CcnEr ;,r'N S R` !C1'`:' i- VISION 06/09