HomeMy WebLinkAbout2010-Plumbing (urinal flush valve) CITY OF OSHKOSH No 141490
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 430 N MAIN ST Owner JFS ENTERPRISES LLC Create Date 03/23/2010
Contractor WATTERS PLUMBING Category 450 - Industrial -Other Plan
Bathtub Clothes Wshr Classrm Sink Surgeons Sink Roof Drain Deduct Meters
Shower Lndry Tray Exam Sink Sterilizer Soda Disp Wtr Sewer Mtrs
Whirlpool Sump Pump F Prep Sink RPZ Valve Coffee Maker Wtr Usage Mtrs
Lavatory San Sump /Pump Flr/Wst Sink Bidet Site Drain Misc.
Toilet Water Softner Hand Sink Urinal 1 Wait. St. Fixtures
Kit Sink Standp Rec Lab Sink Beer Tap Ice Chest
Disposal Gar Drain Plaster Sink Dip Well Comm Ice Maker
Dishwasher Local Waste Sculry Sink Drink Ftn Int Grease Trap
Floor Drain Bar Sink Sery Sink Wash Ftn Ext Grease Trap
Hose Bibb Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn
Water Heater
Use /Nature Repair /repipe urinal flush valve to function properly and comply with code. * *debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
0400870000
Valuation $250.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By OVy).(,p Date 06/14/2010
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 118 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.
/14/2010 MON 13:33 FAX 920 733 2713 WAITERS PLUMBING
S IOd� 001/
City of Oshkosh •
Inspection Services Division
P O Box 1 130
Oshkosh, WI 54903-1130
Phone: (920) 236 -5050
Fax: (920) 236 -5084 O.IHKOJH
O'd THE 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 lo 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 $I00.00 plus the normal pennit fee, which
ever is greater.
OR
If you are a contractor par•ticipatin' in the Pert it Fee Account System and have adequate funds, check here
if you want 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.
0 250 °° 24
Job Address_ I • V Value (Including labor n d materials)_ Date
r
Owner 0' I ' ,1 ll P t . 1., c.1 Contractor 1 : [! / 4
['Single Family [}Duplex []Multi -Family []Rental • 11 Commercial Industrial
Number of Fixtures:
Bathtub Sump Pump Plaster Sink
Roof Drain
Shower San. Sump/Pump Scullery Sink Soda Dip
Whirlpool . water Softener i. _ Service Sink _ Coffee Mln _
Lavatory _ Standpipe Rec Shamp Sink Site Drain
Toilet Garage FD Surgeons Sink Waitrs Stn
Kit Sink Local Waste Sterilizer Ice Chest
Am Sink RPZ Valve —�
Disposal
__�_ Comm Ice Maker
Dishwasher _ Breaknn Sink --- Bidet Int Grease Trap
Floor Drain Classnn Sink — —`—
. Urinal Ext Grease Trap _
Hose Bihb _ Exam Sink ___ Beer Tap ___ Eye Wash Sin
Water Heater F Prep Sink Dipper Well Deduct Meter
Lt Gas U Elect U PwrVnt Floor Sink
Drink Fn[n Wb Sewer Mlr
Clothes Wshr Hand Sink
T.nd Tray -- Wnsh I ntn Wtr Usage Mtr
n Lab Sink __ Catoh 13asi Misc Fixtures
Electric Contractor (for projects not requiring an EIV Form)
Use / Nature of Work 11 /Z. /na p
Size Material Type k Conn. Type —
Sanitary Sewer
Storm Sewer
Water Service
06/09
Received Time Jun. 14. 2010 1:24PM No. 1463