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Home My WebLink About0151939 - Plumbing (associated w/corss connection report) CITY OF OSHKOSH No 151939 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 325 W 20TH AVE Owner PEPSI COLA GENERAL BOTTLERS OF WI Create Date 08/24/2012 Contractor GARTMAN MECHANICAL SERVICES Category 440-Industrial-Interior Plan Inspector Jerry Fabisch 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 1 Coffee Maker Wtr Usage Mtrs Lavatory San Sump/Pump FIrNVst 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 !IND/plumbing associated with the cross connection control report of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1411240000 Valuation $2,000.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided Issued By Date 08/24/2012 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 520 W SOUTH PARK AVE OSHKOSH WI 54902 -6470 Telephone Number 920-231-5530 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. Do P ' ' City of Oshkosh ii, CirliWA Inspection Services Division PC Box 1130 Oshkosh,WI 54903-1130 Phone: (920)236-5050 Fax: (920)236-5084 0/..HKO/H -Om THE WATER 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$100.00 plus the normal permit fee,which ever is greater. OR If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here if you want this_processed through your accountll **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 withoutan EIV when such is required, will not be _. processed for Permit Issuance and will be returned for completion. ii4a0 Job Address 3AS- (-,-) ),6 1174 Value(Including labor and materials) Date 9-21- /1- c Owner Contractor Go-v-k-tv.."..v■ IhkecV.A.A4,‘c4 [ ]Single Family ODuplex ['Multi-Family ORental ECommercial DIndustrial Number of Fixtures: Bathtub Disposal Drink FM Catch Basin Whirlpool Dishwasher Wait.St. Wash Pm Lavatory Sump Pump Ice Chest Urinal - Toilet . Ejector/Grind Exam Sink Gar Dram Res.Sink Water Softoer Scuhy Sink Soda Disp Bar Sink Local Waste Hand Sink Coffee Maker Water Heater Clothes Wsbr F Prep Sink Comm.Ice Maker - 0 Gas 0 Elect 0 PwrVnt Bidet _ Sery Sink Site Drain - Shower Beer Tap Int Grease Trap Roof Drain - Floor Dram Classrm Sink Ext Grease Trap Standp Rec _ Dicky Tray -7.-- Surgeons Sink R.P2.Valve Eye Wash Stn _. Lab Sink Brealum Sink - Shamp Sink Wtr Sewer Mfrs - Plaster Sink Deduct Meters Dip Well Fk/Wst Sink _ - Sterilizer Hose Bibs Wtr Usage Mtrs - Misc. Fixtures _ 'Electric Contractor(for projects not requiring an ETV Form) Use/Nature of Work //-9.57,1,) 1• 11 c - Size Material Type # Conn.Type 144 ,46 91441 7-F Sanitary Sewer Storm Sewer Water Service 07/n7 - .