HomeMy WebLinkAbout0151987 - Plumbing (addition) CITY OF OSHKOSH No 151987
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 4070 STATE ROAD 91 Owner BLUE ROCK PROPERTIES LLC Create Date 08/28/2012
Contractor SAMMONS PLUMBING Category 442-Commercial-Interior(New/Relocated Fixt Plan
Inspector Jerry Fabisch
Bathtub Clothes Wshr Classrm Sink Surgeons Sink Roof Drain Deduct Meters
Shower Lndry Tray 1 Exam Sink Sterilizer Soda Disp Wtr Sewer Mtrs
Whirlpool Sump Pump F Prep Sink RPZ Valve Coffee Maker Wtr Usage Mtrs
Lavatory 1 San Sump/Pump Flr/Wst Sink Bidet Site Drain Misc.
Toilet 1 Water Softner Hand Sink Urinal 1 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 1 Bar Sink Sery Sink Wash Ftn Ext Grease Trap
Hose Bibb Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn
Water Heater 1
Use/Nature 'COMM/interior plumbing associated with the addition to the existing building
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1329103006
Valuation $7,500.00 Plan Approval $0.00 Permit Fees $42.00 ❑ Permit Voided!.
Issued By ^,!.S Date 08/28/2012
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 522 W.MURDOCK AVE OSHKOSH WI 54901 -2298 Telephone Number (920)231-9880
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.
OM :SAMMONS PLUMBING FAX N0. :9202318485 Aug. 28 2012 08:37AM P1
522 W.Murdock Avenue
FII
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920-231-9880
Fax 920-231-8485 Sammons Plumbing
Fax .
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To: City of Oshkosh From: Wade Sammons
ATTN; Plumbing Inspector Pages; 1
Phones 920-231-9880 Date: 08/28/12
Re: Plumbing permits CC:
0 Urgent x For Review ❑ Please Comment 0 Please Reply 0 Please Recycle
•Comments: Please process the following plumbing permit
Please pay from our account.
F.N. Sheppard
4070 State Highway 91 :
toilet, lay, urinal,floor drain, laundry tray,electric water heater,
value: $7500.00
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Received Time Aug. 28. 2012 7: 57AM No. 0629 11