HomeMy WebLinkAbout2012-Plumbing (3 urinals) CITY OF OSHKOSH No 153521
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 101 W WAUKAU AVE Owner JLV STV LLC Create Date 11/13/2012
Contractor M P KELLY 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 Coffee Maker Wtr Usage Mtrs
Lavato ry San Sump/Pump FIr!Wst Sink Bidet Site Drain Misc.
P P Fixtures
Toilet Water Softner Hand Sink _ Urinal 3 Wait.St.
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 INDUSTRIAL/REPLACE 3 URINALS **check#12387
of Work
I
I
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1413700000
Valuation $5,8.00. 0 Plan Approval _ $0.00 Permit Fees $25.00 ❑ Permit Voided
l
Issued By Date 11/13/2012
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 665 N MAIN ST OSHKOSH WI 54901 -4431 Telephone Number 231-1750
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.
/G1.. 1.1. L1111 IV.JVflBf va St v. vvIIIavun •nv+ %vs avr. „-, , .
ity of Oshkosh —r
10 135 Services Division , 1
Don sbloseh,WI 549034130 - . NOV 1 2 2012
Now(920 2364030
sx:(920)236-5084 ii i v V I ,,
E/� O : COMA LI:\R:' :V�ELCPN:�ENT
Y
TVSPF� IJ,! _?,' VISION Penn!Application
hereby apply for a pewit to do end WWI tbobliosingpbaublig en the desk the we*to eedunrs to the
Wisconsin Suite Thumbing Code,in the per fuses of Web all patio haymow.mend ere bound by s said SWt iis.
Applct t(s)aatd lc(s)cso be brought to Cay Hall,Room 205 re neuletto Impection Unions,£0 Box 1121;Oshkosh WI
3490 3-)12S. Commencing wetwithaat 1, ll moult la fees or$100.00 mote normal permit fie,which
ever is pester,
OR
"you mar ik14 prefit*tel Ifirouji voe r..gceimun _ . .
`Advisory-For applicable prtdects, an Electrical Installation V ttion ,signed by the Eeatricsu
lontradar or Rosneowner(for instattatlons allowed to be reamed by the homeowner)must be subedtted
rith the pace application. Applications submitted without stallIV what such is sue,will not be
roamed for Pew u t latiaetce n l will be retwond fbr cotyledon.
■ob Addii' /0/ Ptia CA-( 1%�` use{rnekldinglaborandeseeilals) / U` N Date li . '
Ismer STnr
r¢ Contractor r ,
-
)Sitgle Family Maples [ Mitt-Family. :Nadal O Commerc#sl tri7'
*'m
at
-umber of Fixtures:
)attaeub • Suety Pump Piaster Sisk RoofDseit
"" "
;bower
Sr.Sums/Pump ScuUeey Sink Weil*
iAbittpoot :,.. Writer selNner Serxioa'Sink Cathie Mier
+natory _ Standpipe Bee $bwsp Sink Site Dude
cocci Osage Fp Sapeons Sink GKailra Sin
tit Sink Lodi Waste Steriliser You Cyst
)isposat _ Bar Sink _y~ tt1�Vi'Wee Corm lei ittahs
)it washer Brookins Sink 'Bidet < lel Orm tap
Moor Deno Clatstm Sink Urine(
8ct 3easahp
Ws Bibb Bunt Sink Beer Tip
Rye Wash Stu,
Weer Mates P Prep Sint Dipper Wef Deduct later
0 Outs p Bigot Diev'vnt Ptoor Sink Drink rot Wit SewerMrr
:totbea Wsbr line Baru Wash Fain Wit Mete Me
miry Thy Lab Sink Cu&Basin Mire mores
--
fc Contractor(for pr Jet is not r urn EP/Form),
lature of Work ef c7-----
K ,,'`_..,,(44 i /cc--
Size Material Type ti Conn.Type
Sanitary Sewer
Sturm Sewer - • x,11 100
Water Service u .
•
04/09