HomeMy WebLinkAbout0143895-Plumbing (coffee maker) CITY OF OSHKOSH No 143895
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 340 S KOELLER ST Owner OSHKOSH THEATRES CORP Create Date 11/01/2010
Contractor J RASMUSSEN PLUMBING INC 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 1 Wtr Usage Mtrs
Lavatory San Sump /Pump Flr/Wst Sink Bidet Site Drain Misc.
Toilet Water Softner 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 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 Marcus Theaters / Install water for coffee maker. * *debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
0608760300
Valuation x $ ' 350.00 Plan Approval $0.00 Permit Fees $25.00 El Permit Voided
Issued By ar1,- Yvt../ Date 11/01/2010
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 1914 GREENBRIAR TRL OSHKOSH WI 54904 - 8887 Telephone Number 920 - 231 -1289
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.
10/31/2010 16:05 9202311289 J RASMUSSEN PAGE 01101
"ity of Oshkooh
impaction SerVICES 17tv1SI0111
?O Bois 1130
Qahkosli, WI 54903 -1130
Phone: (920) 256 .5050
Fax; (920)236 -5084 ON TMs. WA
l Plumbing Permit Application
et to do and install the following plumbing on the premises hereinafter' described, the work to conform to the
T hereby apply for a perm to and are bound by said statutes.
Wisconsin State Plumbing Code, in the performance af. which all parties hereto
• Application(s) and fec(s) can be broughtto City 1-WI, Room 205 or mailed to Inspection Services, PO ;lox 1124, Oshkosh WI
54903 -1128. Commencing work without permit(s) will result in fens being doubled or 5100.00 plus The normal permit fee, which
ever is greater.
OR s L,. ! I r l• , , . • e ‘ _ c , C. e
r it kt.v uw ti t •v_i «, t C
F or cable projects, an Electrical Installation Vesication (ErV) form, signed. by the Electrical
Aatv$sozy -
Cam or Homeowner (far installations allowed to e �
be by the homeowner) ntnstbe submitted
with the permit application. Applications sabtn itted without an IEIV when such is revoked, will not be
processed for Permit Issaanec and will be returned for completion. or D Y / °-"f o
u 3s � , flame
Job Address � Viable (Inchon la and matcr»ta)
Owner L`
Contractor ► 0,5 ►� u s S e ••' P 1 ,
DSingle Fierily ❑Duplex ❑1Vlultii- Farolly ❑Reat91 jComtnercial ❑ lndustrfal
Number of Fixtures: Ra n
Sump Prmap Plaster Sink Roots Dia
Shower Scullery Sink 1
Shower San. Su Cerise Ma -1--
We= Softener Service Sink Whirlpool 9haQeP Sink Site Drain
l,attituey _- Standpipe Rec Sm�oon' Sink _„__ Waive Stn
TPilec — �._..— Garage � ^�! CLd91i7./� - ice Cheat �,.--
Kit Sleek _..._— �� waste —� �, Valve ~! Comm lee Maker
Bar Sink
Diaconal __ � eider �� int (yreaao T►ep
niahwr<aher Sa X111 Sink urinal � tau TmP
Floor Drain __ Comm Sit* rye Warta Sat Exam Sink Bea Tap
Time Bibb ^�� Dipper wen Deduct Meer
Water Bearer F Prep Sunk -• �^ We Sewe r
i', c;as 0 Tiled n Neint Floor sink D ink Pn
Wall Fen -..,. _ Wtr Usage Mu
Clothes Wahr Read qtr Wtr sage ce
Lady Tray _ Lab Sink Can i Basin
Electric Contractor (for projects not requiring an EWV Form)
Use / Nature of Work W It -Co r G r C ■■ 'O'r —
Sin Material — _ _ Type it Conn. Type
Sanitary Sewer
Storm Sewer
Water Service _
06/09
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Received Time Oct. 31. 2010 4:45PM No. 3513