HomeMy WebLinkAbout0153474 - Plumbing (addtional fixture) CITY OF OSHKOSH No 153474
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 457 N MAIN ST Owner STAPEL PROPERTIES LLC
— ----- Create Date 11/09/2012
Contractor J RASMUSSEN PLUMBING INC at
— Category 442-Commercial-Interior(New/Relocated __ 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 Flr/Wst Sink Bidet Site Drain 1 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 ICOMM/additional fixture added to permit#153283 —
-----------
of Work --- - -
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0700210000
Valuation $200.00 Plan Approval _ $0.00 Permit Fees $7.00 U Permit Voided '
Issued By — Date 11/09/2012
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 1914 GREENBRIAR TRL — OSHKOSH WI 54904 -8887 Telephone Number
-- P (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.
11/08/2012 20: 05 9202311289 J RASMUSSEN PAGE 01/01
()f)tsx R 1341
dIwhketQkr. WI 54903-11130
Phr°rhe:(920)23(i-5050 `
1,'13::(920)2311.5I)S4
aP umbing Permit Application ..;11 I Ud T y.__.
I hereby apply fin a permit to dte and itastall the.fi;>llowing piumii,ing on the premises hereinssrfl:art described,. the work to conform to I.he
Wtsen n;ril4s State'Phi41ibilU}C'.c?dc.in the;.••errorrrnartoo of which all parties liemtn agree to and ave.briimd F.-said stutctdres.
it AppJ.'r..ation(s)and fee(k)can be brought to City f'iall,Room 205 or.mre.ile>d to.Inspection Services, PO To i I 2R.Oslskosrr,WI
.S49.01-1 12.8. Commencing work without .ter!sait(sl will reutdt in fees being doubled or,M t0(1,.Q0 plus the nOrrtta.t permit Etc,which
r'ver IS greater.
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Uf,1 att.....1c0,.ro i1ri,s rre:acv.,�'_e_d x&tam.giz c�srr ac it:.t.
"=1'. 4va It r-For.am a,IiCWIh c pr Ojet-'ts, an.Electrical Installation Verification(1 jV)Arm,Riga,eei by the Tiject1rileal
4.'d1 o raelrtorr or RRLA1lliconttre'A'(for tla t r s allowed to be performed by the homeowner)ono. . br wmnftred
e:tr a1h the Baas rna>111:application, .A.pplications submitted uwitbuitt alum E�'hen clan its rreq.I iredft,will nA?A,be
p ro,,e3t9cd Corr permit Isfren.awnrre And will be a'ac!t:ot:m!e i1 for colorpl.ctNtrde,
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:737 L _ R-0.S bi^-t.m -5' .e.rya a s 1:7/"',,
[._}Siogim lvoiniiV rifinplea EINtenpli-Iroinity El erital FICoututere gIti f.-.illndusst:rttal
N-±.tirn bet of Fixtures: .
t.n,hnil, •,__. Simnp Pump Mater Shth 14 onf rrrlrin _._.__._.
tihrnucr gnu-,Colnpfhimp —,__°-° Srrillnty .ink .__•—,-._ Soda hiS?+ . ......
VJatr `:nJ11 nts Service Sink. R'rrffre Mkr
r.a.nnlY CniTui i Fx ttca'. -- Shnmp Sm' _. Sa t?rHr1 '__--••
'I'nilis. Ciarati c F Snr zcnns Sink '.aura Sill _...._-...
--- T.e,al?1c°aFarr,. — celdlh�,tr let.f'areRL ..-._.._ ..
niaorornl .... YEnr$irlk
RP/Valve C't1'nm Ire Maker --..,
Smkr r.Sink __._ _ . Bic t __.- ___ IntCvsn l'iinr .. _.__.
.
I*rvhwrnhcr
—...__..
t'Inr+r Tlratn raalsrtn Shrk Urinal Eta Greasr rah ,__..,.._._..
.
Fvr..Mfmait Sin __.. .,..txrm Sink _. .__ _ ftrc 1Ap
t Tor..:tiith --_
Er PITT.tilnk ......, -..,.,- ]ipFuatel '-.._.
Ikrhzct A crnr
‘..1./n iti T1ra
r.his' Ie I'I 1'wr Nnl
Flnor[;ink ._...._..._. nrhtG Nan 1A�i,,`aMVrs Mit ..,:,......_._
1.:Iaf1i Wslu• Hand'...:ink VJnuh Pnl.n lAltrt.frou :Mir
.0,1IN Tra7: .. .,...-_._. I.ab Sink .... Calet iianin jfir..Fhrlrsr!•, -.....
",1edtrie Caratlta-2rctola (for projects to aa(�ot requiring on ETV Foram)1—_..._.� ...._,,. — _._,� ^ .__ _.......
(fSd". 'kRAA G rD� ftX' 11 l` "�!A rl a r'a Lt I`PJw-S.9 k_± _-r�C S 1pn 1--/)
;n!;i.tit17, .4ir_%.ver
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Received Time Nov. 8. 2012 7: 54PM No. 1594