HomeMy WebLinkAbout2003- Plumbing (laundromat)OSHKOSH
ON THE WATER
.lob Address 1050 WITZEL AVE
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Contractor MCCALLIGAN WATER TREATMENT
Owner HURLEY PROPERTIES LLC
Category 440- Industrial-Interior
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 Water Soffner 1 Drink Ftn 0 Serv Sink 0
Lavatory 0 Lndry Tray 0 LocalWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 Lndry Stndp 0 ClothesWshr 32 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0
Water Heater 1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 100314
Create Date 03/21/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature Commercial/water service for laundromat, water conditioner, water heater.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$6,000.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$204.00
Date
03/21/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 12560 BIRCH DR BROOKFIELD WI 53005 - 0000 Telephone Number
414-573-2424
OSHKOSH
ON THE WATER
Job Address 1050 WITZEL AVE
Contractor MCCALLIGAN WATER TREATMENT
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner HURLEY PROPERTIES LLC
Category 440 - Industrial-Interior
Bathtub 0 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 Water Softner 1 Drink Ftn 0 Serv Sink 0
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 Lndry Stndp 0 CIothesWshr 32 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch BaSin 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0
Water Heater 1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 100314
Create Date 03/21/2003
Plan
Gar Drain 0
Soda Disp 0
Coffee Maker 0
Int Grease Trap 0
Ext Grease Trap 0
Use/Nature
of Work
Commercial/water service for
laundromat, water conditioner,
water heater.
Valuation $6,000.00
Issued By /
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Plan Approval $0.00 Permit Fees $204.00
Date 03/21/2003
[] Permit Voided
In the perforrr~e of thi.~agree to pe_2-forr~all work pursuant to rules governing the described construction.
Signature ~J ~(~~// ~)/~ Date
~' .... ~ ...... ~g~wner
Address 12560 BIRCH DR BROOKFIELD WI 53005 - 0000 Telephone Number
414-573-2424
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
O/HKO/H
ON 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, kn 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
you want this processed through your account ~
Job Address I O~( L,O~'L-L~
Owner ~i [Lp. ~c[x,c~[~.~t
[--]Single Family [--]Duplex
~Vt~Value (Including labor and materials) Date
Contractor. }~[C_.(--t:Ll.[[,_~evc4 L~,ho..'~C_~'T'w-~q~w~-- ~
[--]MUlti-Family [--[Rental [~Commercial [--]Industrial
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
[] Gas [] Elect~ PwrVnt
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Lndry Standp
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softuer
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Surgeons Sink
Breakrm Sink
Dent. Oper. Shamp Sink
Dip Well Flr/Wst Sink
Drink Ftn Catch Basin
Wait. St. Wash Ftn
Ice Chest Urinal
Exam Sink Gar Drain
Sculry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Ice Maker
Serv Sink Site Drain
Int Grease Trap Roof Drain
Ext Grease Trap Standp Rec
Electric Contractor
Use / Nature of Work
OR
(If Replacement)
Sanitary Sewer
Size
Material
[-]Electric Installation Verification form attached
Type
# Conn. Type
Storm Sewer
Water Service
3/02