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HomeMy WebLinkAbout0100634-PlumbingOSHKOSH ON THE WATER .lob Address 2700W 9TH AVE Contractor BASSETT MECHANICAL CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner MERCY MEDICAL CENTER OSH INC Category 440- Industrial-Interior Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Lavatory 0 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Toilet 0 Lndry Stndp 0 CIothesWshr 0 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 0 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 100634 Create Date 04/04/2003 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap Use/Nature INSTALL REDUCED ZONE BACKFLOW PROTECTION VALVE IN DIALYSIS CENTER RO MECHANICAL ROOM of Work Valuation Issued By Sanitary Sewer Storm Sewer Water Service Size Material Type # $1,500.00 Plan Approval $0.00 Permit Fees Conn. Type 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 $20.00 Date 04/04/2003 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 1215 HYLAND AVE PO BOX 7000 KAUKAUNA WI 54130 - 0000 Telephone Number 800-236-2502==920-; OSHKOSH ON THE WATER Job Address 2700 W 9TH AVE Contractor BASSETT MECHANICAL CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner MERCY MEDICAL CENTER OSH INC Category 440 - Industrial-Interior Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Toilet 0 LndryStndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 BarSink 0 Dishwasher 0 BeerTap 0 SculrySink 0 Wash Ftn 0 Water Heater 0 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 100634 Create Date 04/04/2003 Plan Gar Drain 0 Soda Disp 0 Coffee Maker 0 Int Grease Trap 0 Ext Grease Trap 0 Use/Nature INSTALL REDUCED ZONE BACKFLOW PROTECTION VALVE IN DIALYSIS CENTER RO MECHANICAL ROOM of Work 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 Valuation $1,500.00 Plan Approval $0.00 PermitFees $20.00 Issued By Date 04/04/2003 [] Permit Voided In the performanc_e_of~his work, I agree to perform all work pursuant to rules governing the described construction. Signature Z.~-'~' ,,~z~ Date Agent/Owner Address 1215 HYLAND AVE PO BOX 7000 KAUKAUNA WI 54130 - 0000 Telephone Number 800-236-2502==920-