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Home My WebLink About0151938 - Plumbing (associated w/cross connection report) CITY OF OSHKOSH No 151938 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 2541 W 20TH AVE Owner PEPSI COLA BOTTLING CO OSHKOSH 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 FIr/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 IND/plumbing associated with the cross connection control report of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1328580000 Valuation $1,500.00 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. H ( _ City of Oshkosh ® Inspection Services Division P 0 Box 1130 Oshkosh,WI 54903-1130 Phone: (920)236-5050 Fax: (920)236-5084 OIHKOJH ON 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(sran 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 feet being_cloubled-or-SN0.00-Fslus-the normal permit fee,which ever .is greater. _____ u are a c ntractor artici atin in the Permit Fee Account System and have adequate funds, check here i ou want this rocessed throu h our account --) , . **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 r' I a a I e. I I i. . 4:. Value . Job Address GI- 14, Tlf ue(Including labor and materials) 1..5-40 0 Date ? -1 1 - / )-- Owner Pf AL___ __________ Contractor , ilfiingle Family ODuplex [Multi-Fatally ORental 1:Commercial cOndustrial Number of Fixtures: Bathtub Disposal Drink Ftn _ Catch Basin Whirlpool Dishwasher Wait.St _ Wahh Pm Lavatory Sump Pump Ice Chest Urinal _ Toilet _ Ejector/Grind — Exam Sink Gar Drain Res.Sink _____ Water Softner Sculry Sink — Soda Disp _ ---- Bar Sink Local Waste Hand Sink — Coffee Maker _ ____ ------ Water Heater Clothes Wshr F Prep Sink — Comm Ice Maker .--__ 0 Gas 0 Elect 0 PwrVnt Bidet Say Sink Site Drain ____ —_. Shower ------ Beer Tap Int Grease Trap Roof Drain _ __ Floor Drain ciassrm Sink Ext Grease Trap Standp Rec _ ___ Ladry Tray •Surgeons Sink .R.P.Z Valve A Eye Wash Stn• - __ Lab Sink Brealcan Sink Shamp Sink Wt.Sewer Mtrs _ __ , _ _ -- Plaster Sink wi Flr/Wst sink Deduct Meters ___ _ -- ______ Sterilizer Hose Bibs Wtr Usage Mtrs _ ___ = Misc. ixtures , ----- - , - 'Electric Contractor(for projects not requiring an ETV Form) . Use/Nature of Work / ---_.t 6' 1' fif c-' r97—, '\ Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service