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Home My WebLink About2011-Plumbing CITY OF OSHKOSH No 146371 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 317 N SAWYER ST Owner RICHARDNIRGINIA NASLUND REV TRUST Create Date 06/15/2011 Contractor JIM'S PLUMBING & HEATING INC Category 442 - Commercial- Interior (New /Relocated Fixti Plan Inspector Rich Wood 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 2 San Sump /Pump Flr/Wst Sink Bidet Site Drain Misc. Toilet 2 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 1 Int Grease Trap Floor Drain 2 Bar Sink Sery Sink 1 Wash Ftn Ext Grease Trap Hose Bibb Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn Water Heater 1 Use /Nature Family Dollar / Interior Remodel. *"debit acct of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 1610750000 Valuation $6,000.00 Plan Approval $0.00 Permit Fees $63.00 ❑ Permit Voided Issued By Date 06/15/2011 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 W6166 GREENVILLE DR GREENVILLE WI 54942 - 9676 Telephone Number 920 - 757 -5258 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. 06/15/2011 09:57 FAX 920 757 6482 JIM'S PLUMBING a1001/001 City of Oshkosh - Inspection Services Division - Plumbing Permit Application Page 1 of 1 DIvltlen er (nrprrtlan 5ervle49 CITY OP 215 Mona Avtnus 4)0/HKO,fH P.O. 1130 Oshkosh, WI 54953 -100 NW (920)236.5004 ON THE WATER Faons (920) 236 -_050 PLUMBING PERMIT APPLICATION All Information with • next to It must be provided. Incomplete applications will not be processes, 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 Stele Plumbing Code, In the performance of which all parties hereto agree to and are bound by said statutes. Appllcauon(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 permlt(s) will result In fees being doubled or $100.00 plus the normal permit fee, which ever Is greater. .r ILYa ra a llp m traetor oart(r,lRWOC.�1Lthe Permit Pa s Aeeount Svntm en h d ave al(pRi at Jtrnd,,SXRa YES If Vow wants)IiLRUtsa seed through Your acme/A I �/ I •• Advisory - For applicable project', an ElectNeel Installation Verification (E1V) form, signed by the Electrical Contractor or Homeowner (for Installation' 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 ssuance and will be returned for completion, r Permit ) 1111 *JOB ADDRESS I 3 /V" c4,4", ' 4,J •OWNER I 4 a+Ve 1 yrf ; y r /f.'(�...._. . .J r 'CONTRACTOR I H� �4, t C '! a • .... . 'VALUEI ` G oc:. •USE CATEGORY e Single Family r Ouplax f multi f' Rental O.olnmerda) r Industrial Bathtub f ---- 7 Sump Pump I -- Plaster Sink FT: 7 Roof Drain r— Shower I' -! San. Sump /Pump I ---- Scullery Sink I f � `. _ Soda Disci Whirlpool I 7 Water Softener !-- S Sink f Er Coffee Mkr 1---- Lavatory rte; Standpipe Rat r -- Shamp Sink r -- S f�-'- Re Drain Toilet r Garage FO r Surgeons Sink r —^ vrmtrs Stn 1—'-- K11 Sink r - - Local Waste I�- 1 ---- '— I Sterilizer Ile Chest I Disposal � I ! Bar Sink 7 901 Valve F� 1 ....; Comm Ice Maker r —• Dishwasher r— Breekrm Sink 77 ., : Bldel r --• Int Grease Trap r -- Floor Drain r CWssrm Sink 7 Urinal r— Ext Grease Trap r— Rose Bibb r -- Exam Sink f----- Bear Tap r - - Eye Wash Sin r—" Water Heater Fr'. F Prep Sink 1 ----- Dipper Well r Deduct Meter E— r Gas IX lactne r Pwr Vnt Floor 5199 r Drink Fntn rr Wrr Sewer 040r I-- Clot Wshr I i Hand Sink I -- � - �— t � — 7 7 Wash Fnm I Wlr Usepe Mtr r— Lndr Trey r lab Sink r Catch Basin r Min Futures r--- *USN / NATURE OP WORK ,,.. •VALUE (Including labor end ell materiels Including light fixtures) I 9LECTR1C CONTRACTOR (for projects not requiring an E1V Form) I I • Size Material Type N Conn. Type Sanitary Sewer I 1 I ( . ... -.. .. I Storm Sewer I .... I f 1 f Water Service I ( i I I 1 21!!!t112:2.11 Received Time Jun. 15. 2011 9:28AM No. 6035