HomeMy WebLinkAbout0142066-Plumbing (water softener) (CD CITY OF OSHKOSH No 142066
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 300 S KOELLER ST Owner LANDMARK LIMITED PARTNERSHIP III Create Date 07/16/2010
Contractor SCHAEFER'S SOFT WATER Category 442 - Commercial- Interior (New /Relocated Fixti 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 FIr/Wst Sink Bidet Site Drain Misc.
Toilet Water Softner 1 Hand Sink Urinal 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 Scully 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 Benvenuito's (300 -1-I) - Install water softer.
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
0608770000
Valuation $1,523.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By &17/„.a../ Date 07/16/2010
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 perm plic on ►ithin,1 easement, the City strongly urges the permit applicant to contact the
easement ho er(s) an oA `� re ,;(ny n approvals before starting such activity.
Signature t
, ' � I' Date 7,2„, ! G
Agent/Owner
Address N11805 ALCOTT WAUPUN WI 53963 - 0000 Telephone Number
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.
Jul. 15. 2010 11:16AM CITY OF OSHKOSH INSPECTION No. 1953 P. 1
City of Oshkosh
Inspection Services Division o e dNP ()‘.—
PO Box 1130
Oshkosh, WI 54903 -1130 a - 11 ®
Phone: (920) 236 -5050
Fax: (920) 236 -5084 OIHKOJH
ON THE Wa7Ea
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 S100.00 plus the normal permit fee, which
ever is greater.
OR
1 ou are , contr , c • r , art ici i at in , in the Permit Fee Accou 1 .r e r • • hav - ad = , t ' u r z e . . re •
if you want this processed through your account n
** Advisory - For applicable projects, an Electrical Installation Verification (EPV) 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.
# { - 1 f „ d 7� /Yl
Job Address .�� S � S Vah1C (including lebor pfd metcruts / � o ?� - Date ` 074 ( 0
Owner �u4w Contractor
DSingle Family ['Duplex QMVlultl- Family ['Rental OCommereial DIndustrlal
Number of Fixtures:
Bathtub Sump Pump Plaster Sink Roo[ Drain
Shower San. Sump/Pump Scullery Sink Soda Disp
Whirlpool Water Softener x Service Sink Coffee Mkr
Lavatory Standpipe Ree Sharp Sink Site Drain
Toilet Garage FD Surgeons Sink Waitrs Stn
Kit Sink Local Waste Sterilizer Ice Chest
Disposal Bar Sink RPZ Valve Comm ke Maker
Dishwasher Bream Sink Bidet Int Grease Trap
Floor Drain Clarsrm Sink Urinal Ext Grease Trap
Hose Bibb Exam Sink Bccr Tap Eye Wash Stn
Water heater F Prep Sink Dipper Well Deduct Meter
0 Gas 0 Elect 0 PwrVnt Floor Sink Dr ink Fntn Wtr Sewe Mtr
Clothes Wshr Hand Sink Wash Fntn Wtr Usage Mtr
Wry Tray Lab Sink Catch Basin Miso Fixtures
Electric Contractor (for projects not requiring an EXV Form)
Use / Nature of Work 14,41tait Cc/
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
06/09