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Home My WebLink About2012-Plumbing (new fixtures) CITY OF OSHKOSH No 152400 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 355 N WASHBURN ST Owner BERGSTROM CHEVROLET CADILLAC OF OSI- Create Date 09/17/2012 Contractor OGDEN PLUMBING Category 442-Commercial-Interior(New/Relocated Fixti 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 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 1 Sery Sink Wash Ftn Ext Grease Trap Hose Bibb 1 Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn Water Heater Use/Nature COMM/installing new fixtures in car dealership of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1615060200 Valuation $1,500.0.0 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided Issued By L1 Date 09/17/2012 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 PO BOX 689 NEENAH WI 54957 -0689 Telephone Number 725-8985 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. 09/13/2012 07: 36 9207258984 OLDEN PLUMBING PAGE 01/01 City of Oshkosh Inspection Services Division P 0 Box 1130 Oshkosh, WI 54903-1130 Phone: (920)236-5050 Fax:(920)236-5084 DJHKDJH 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(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 S100.00 plus the normal permit fee,which over is greater. OR •u are a contractor •artici. •tin- in the • -rmrt Fee Acco t stem and have ade•uate unds check here if you want this processed through your 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 returned for completion. Job Address3L /.M&der�&qU i 4) Value (Including labor and materials) (" °C) DateY/ —/� Owner Scoi..51-Ar - 'el' Contractor e o , f /b ['Single Family ['Duplex ❑Multi-Family ❑Rental ZJi ommercial ❑industrial Number of Fixtures: Bathtub Sump Pump Plaster Sink Roof Drain Shower San.Sump/Pump Scullery Sink Soda Disp Whirlpool Water Softener Service Sink Coffee Mier Lavatory Standpipe Rec Shamp Sink Site Drain•Toilet Garage FD , . Surgeons Sink Waitra Set Kit Sink Local Waste Sterilizer Ice Chest Disposal Bar Sink RPZ Valve Comm Ice Maker Dishwasher Break=Sink Bidet Int Grease Trap Floor Drain Classrm Sink Urinal Bxt Grease Trap Hose Bibb / _ Exan'Sink Beer Tap Eye Wash Stn Water Heater F Prep Sink Dipper Well Deduct Meter ❑Gas 0 Elect 0 PwrVnt Floor Sink Drink Fntn Wtr Sewer Mtr • Clothes Wshr Band Sink Wash Fntn Wtr Usage Mt Lndry Tray Lab Sink Catch Basin Misc Fixtures Electric Contractor(for projects not requiring an EIV Form) r Use /Nature of Work e face Si/l cosh , i/►� l/ l.s 4.#4' 5 tnlz Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Received Time Sep. 13. 2012 7: 36AM No. 0806 ovog