HomeMy WebLinkAbout0123000-Plumbing (Units A & F)
G
OSHKOSH
ON THE WATER
Job Address 3160 WHITE TAIL LN
CITY OF OSHKOSH No 123000
PLUMBING PERMIT - APPLICATION AND RECORD
Owner MIDWEST GENERAL CONTRACTORS Create Date 12/22/2006
Contractor WATTERS PLUMBING
Category 440 - Industrial-Interior
Plan
Bathtub
"
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Shower Water Softner Wait. St.
Floor Drain Local Waste Ice Chest
Lndry Tray 1 Clothes Wshr Exam Sink
Disposal Bidet SculrySink
Dishwasher Beer Tap Hand Sink
Sump Pump Lab Sink Plaster Sink
Classrm Sink Sterilizer Surgeons Sink
Breakrm Sink Dip Well F Prep Sink
Ejector/Grind Drink Ftn Serv Sink
2 Hose Bibs
Shamp Sink
FlrlWst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
[MULTI-FAMILY / UNIT F LNDRY TRAY AND HOSE BIB, UNIT A HOSE BIB **debt acct
I
L
,',T
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1329610100
$25.00 0 Permit Voided I
Valuation $400.00 Plan Approval
Issued By 5~y:::y;\U
$0.00 Permit Fees
Date 12/22/2006
.
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
Address PO BOX 118
Agent/Owner
MENASHA
WI 54952 - 0118 Telephone Number 920-733-8125
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.
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City of Oshkosh
Inspection Scrvicc~ Divislo,'
P080x 1130
O~hkosh, WI 54903-1130
rhOllC: (9.20) 236-S050
Fax: (920) 230-50114,
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Plumbing Permit Application
1 hereby apply for a permit to do ~nd inSl:~,11 the 'following plum\:lil1g r:l11 t.he prel11j~;es hercina:fl:cr de:;cl'ibed, the work to conform to the
WiRconilin State PIlll'nbl1lg Code, in the pe,1'orrnance of which all p~j'l',ies hereto agree to llnd :,\rc b01.l1'ld.by 91l.1(1 sta.l:utes,
. Application(s) arId feces) can be bl'oughtto City Hall, Room 205 or mallod 1:l} inspection Services, PO Box 112.8,
Oshk(,lSh WI 54903-112R. COI11I11C:Jncing work withoul: permil:(~) will re.<llllt in fecs being doubled Of $100.00 pillS the
n(wma.l permit fee, which ever is gr'ea1:er.
OR
,!LJLQ1Uy'~,lL!UH2!l!JJlSl.t1.L.P,aJ:JL. 9Jj:!.PJJJJg.JIJ.,,~l"JLl!~fr., 1:J17J.{J;. c ~tAf..{;jlJilJ.1"!'illl e /11..g /'l. d h a"JL.IJIjggJ!J.l,U:'..JJlJJ"d,'.,_(b!UL~;_!JJlfj~
liJ!.Qu 'Wan I I h l,tJ:2LJ:Lt<.lU.J.'Ul..,rL1iIJJlI!,gJ:L,.JLOJ~,,-jlJa;_o..!~,,'{!L1\} .
.lob Add.l!"tess.----7L~ 0 bI.L rt ~/ L,ItI V.\ll,h~e (Tnc.lndlL!R InbOI' 111\(1 1I\;lll:rl('I~L_~Q#' flU Dat~-.L~;t:
QwmeJr ._ ~~.,-/ ~@.!!./C:;/ CQ1lP.t1r~dor J / ~/ A/ / ..r;:
~.-/-"...! ~ -M/....L4t'i~-L:;@..4i'4~e ,
DSi:ngJe:F.'a,mHy DO~Rllcx. 1~J\1Qlltn-Famnny D.Rell1ltai DCommerdal Dhftdnst.f~:\1
Number of Fb:tllr.es:
,B~jhl:l.lh
Whh'lp(!CII
,r ,nvnl;l\ry
1'<)/k~t
Rc.r., Sink
AlIrRinl:
W~\ter l-Tclll:cl'
IJ Gus I, I .J:oJ~cl: 1['P;~V~1.
!I'hower
r'1M!' I')ruin
,[)i~p(l~lll
])iAhwn~hcl' .
Sump Pl.1ml'
q cr.:\'QI'/Oriml
W fleer Sl,ll1ner
1..oe:\IWII~te
tlnth(l~ W~llI'
Bidel:
l;l'lOI'THP
Cln::l;l'tn Sink
SI.lI'lt,/!Of'l~ Sink
Brr.l\Ic,'r" Sink
!)if1Wcll
HCI,OI, r'lll1"
Drlnl(T!l.n
WlJ/t.,51.
TI\~,CI1(l~\
I:!XIU71 ~Inr(
SClJlry Sirik
HlIlld ~ink
Cmcll ~~II~if'l
Wllsh Ft,~
lMtlI.\1
GnI'rJmin
Sodll. Di~1J
ClIf'fcr. M~1c~1'
Cnmm, Icc M~"ol'
$ltc J)min
Ronfl)rn.11l
SaHlIII' Roc
Eye \V o~h ~1lI
WI,l' ~cwc,. Mlr,~
Deduct Metel\'l
WIl' !.1RJlI!C MUll
F T'rcl'l Sink
~~Sillk
rllt Grcll,~c TrOll
F,xt al"(:n~o TrlOI!
RP,Z, Vlllv~,
Sh:l"'1l Sink
"..'.' .",__,,_ 1:lrIWRI, Sink
.._~~"" (/"p/ u;"~'
1/-':-
",.,.;j ,
T..nlllyTc~l:V
lJlh Sink
T'la~tcr Sihk
:;icrilimr
MjR~,
1'i1((1,1I'C~
.1----..
.-.----., ..1.____.......,.______.'''...... '___'"_.'N'''
EBecbic CO~ ':ractoJl" 0 '--"""'0- ,---.-- "'N,",...-_ -"'''',."''"...-,-~,,.
-..~-.-----" J.. _E~eC1l:l\"itC: In:~t:lllUa~ioQ Vll':JrRfncatfi(l\1/B form 3U~.ch0d
. (If Rcpln':,cmcllt:)
Use/Nat~~~e ofWo"I~__~~./-./ C':"r! i// '/ "
-,.-?&dA-y 4 ,JU.p.Lt.._/,wr,
-..-----St;;;~'*'-'--~1""-'-_..."--.ry"~',----'-:-;--'-'--'~.",.._-".
~:;mi1:11,ry Sewer Ie 11' Gll1n, Type
St.orrn Sewer
r Water Slilrvice
__f----..._.___..~.,....______--.---.,.____.,.._._..___.,...,___'>____..,_~_~
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