HomeMy WebLinkAbout0151596 - Plumbing (replacement interior grease trap) CITY OF OSHKOSH
OSHKOSH No 151596
SHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 340 S KOELLER ST _ Owner OSHKOSH THEATRES CORP
------- -----
Contractor J RASMUSSEN PLUMBING INC ---- —_Create Date 08/09/2012
RASMUSSEN Category 12 p
9 rY 443-Commercial-Interior(Replacement Fixtun Plan FIL-479-0812-P
Inspector Jerry Fabisch ----
Bathtub
Clothes Wshr Classrm Sink
Shower --- Surgeons Sink Roof Drain
Lnd Tray ---- Deduct Meters
ry y Exam Sink
Sterilizer -- -
W ---- Soda Disp ---
Whirlpool
Sump Pum -- - P Wtr Sewer Mtrs
P p F Prep Sink RPZ Valve
Coffee Maker ---
Lavatory
ry San Sum /Pum Misc.
Usage Mtrs
Sump/Pump FINWst Sink
Bidet - -
Toilet ----- Site Drain -_
WaterSoftner Hand Sink Fiisu.
Urinal Kit Sink _-- ---- Wait.St. Fixtures ---
Standp Rec Lab Sink
Disposal ----- __-_ Beer Tap Ice Chest
Gar Drain Plaster Sink
Dip Well
Dishwasher Local Waste Scu --- Comm Ice Maker
l
Sculry Sink Drink Ftn --- -
Floor Drain Bar Sink -- - Int Grease Trap 1
Sery Sink
Wash Ftn -----
Hose Bibb Ext Trap
Breakrm Sink --- t Grease
Shamp Sink Catch Basin Eye Wash Statn
Water Heater
Use/Nature 1Install replacement interior rease tra
of Work 9 P• '**Debit Account***
I
I
Size Material Type #
Sanitary Sewer Conn.Type
Storm Sewer
Water Service
Parcel Id#
Valuation $1,500.00 Plan A 0608760300
pproval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By
Date 08/09/2.012_
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)233-6747(work
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.
City of Oshkosh
inspection Services Division
P 0 i3ox 1130
Oshkosh,WI 54903-1130
Phone:(920)236-5050
Fax:(920)236-5084
0,11- KOJH
Plumbing Permit Application nTt
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 he brought,to City Hall,Room 205 or mailed to inspection SetviB l .s D
54903-1128, Commencing work without permit(s)will result.in fees being doubled or$100,0 p us e normal"permit: cc, ich
ever is greater. AUG 0 8 2012
OR
/[ ou arc a contractor participating in the Permit .F Account System and have,adegtrFt}cf'APnTM Ii�TEQF here
ifyouwant this processed through your account ( COMMUNITY DEVELO-5RENT
INSPECTION SERVICES DIVISION
** Advisory-For applicable projects, an Electrical Installation Verification(EIV)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.
Job Address,_3_90 S, Kv:€4( ___ Value(Including labor and materials) 1I 00 t Date V-C 1 Z
Owner M Pctc LA.s Co f p_- Contractor t IZ IX_
[]Single Family []Duplex ElMulti-Family
❑1Reutal Commercial ❑Inldustrial __-_
Number of Fixtures:
Bathtub Sump Pump Plaster Sink
- Roof Drain
. lower San.Sump/Pump Scullery ink
ry: Soda Disp
Whit pool Water Softener __-_____ Service Sink
�___- Coffee Mkr
avatory Standpipe Rcc Shamp Sink
Site Drain
Toilet G --------
arage Ft) Surgeons Sink Waitrs Stn
Kit Sink Local Waste Sterilizer
_.._.._.__ lee Chest
Disposal Bar Sink RP,7_Valve
Comm Ice Maker
Dishwasher Breakrm Sink -- - - Bidet —�.__._.,
Inc inl.Grease Trap
Floor Drain ___ _ Classnn Sink T__, Urinal _.._
_.______, Ext Grease:Trap _ _
Hose Bibb T_ Exam Sink Beer Tap _—_--_. Eye Wash Stn —
Water Heater _ F Prep Sink __,-_- Dipper Well Deduct Meter
I.I Gas I I Fleet Pw VVnt Floor Sink —.__-- Drink Firm —
Wtr Sewer Mtr
Clothes Wshr ----------
Hand Sink Wash Fain
___ Wit Usage.Mir
.» r}Tray _-.----
__—_ Lab Sink Catch Basin
-_______ Misc Fixtures
Electric Contractor(for projects not requiring an EIV Form)
Use/Nature of Work ul.'4 e C.( Crti24.se t
Size Material Type —.— Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
05400