HomeMy WebLinkAbout0154183 - Plumbing (sump pump) 0 CITY OF OSHKOSH No 154183
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2490 ENTERPRISE DR Owner CENTRAL WISCONSIN REALTY HOLDINGS LL Create Date 01/16/2013
Contractor GRP MECHANICAL INC _ Category 442-Commercial-Interior(New/Relocated Fixt Plan
Inspector Jon Mueller
Bathtub 0 Clothes Wshr 0 Classrm Sink 0 Surgeons Sink 0 Roof Drain 0 Deduct Meters 0
Shower 0 Lndry Tray _ 0 Exam Sink 0 Sterilizer 0 Soda Disp 0 Wtr Sewer Mtrs 0
Whirlpool 0 Sump Pump 0 F Prep Sink 0 RPZ Valve 2 Coffee Maker _ 0 Wtr Usage Mtrs 0
Lavatory 0 San Sump/Pump 0 FIr/Wst Sink 0 Bidet _ 0 Site Drain 0 Misc. _ 0
Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. 0 Fixtures
Kit Sink 0 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest 0
Disposal 0 Gar Drain _ 0 Plaster Sink 0 Dip Well 0 Comm Ice Maker 0
Dishwasher 0 Local Waste 0 Scully Sink 0 Drink Ftn 0 Int Grease Trap 0
Floor Drain 0 Bar Sink 0 Sery Sink 0 Wash Ftn 0 Ext Grease Trap 0
Hose Bibb 0 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 0
Use/Nature COMM Install(2)RPZ Valves. Sump pump,lawn sprinkler.
of Work
■
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1329400101
Valuation $1,500.00 Plan Approval ___ _$0.00 Permit Fees $30.00 ❑ Permit Voided;
Issued By Ulm Date 01/16/2013
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 730 HAWTHORNE DR OMRO - WI 54963 - 1163 Telephone Number 920-685-0990 _
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.
J111. 1, cu ) 0: 'JOAN: L ; r Ur UJ1NO" .vart� . IU\ ND, 1UUb . I
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh,WI 54903-1130
Phone:(920)236-5050 f � H
Pax:(920)236-5084 ON THE
Plumbing Permit Application
I hereby apply o son a permit m to do Codotiin the following a of which h all partiesthereto agree to and are bound by said statutes.'to the
Wisconsin State Plumbing p
• 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$100.00 plus the normal permit fee,which
ever is greater.
OR , a e ode. •r areal h ck h r
1 •u are a ontract.r ,artici! -tin. in (IT Permit Fe• Account stew
i,Lyou want hl rotes ed fhro h our c un1
**Advisory-For applicable projects, an Electrical Installation Verification(ETV)form, signed by the Electrical
Contractor or Homeowner(for installations bmtwttcd to thout an ETV whenesuch is equircduvv will not be
submitted
with the permit application. Application
processed for Permit Issuance and will be returned for completion.
J� �, �3
Job Address `t1�-1�a r� " T r bc--Value(Including labor And materials
°-'�°.-- Date ���
(.1 A,, Contractor 46 K1 i-\. r.,,,...,4. , ?,
Owner 4:.aw C� r�r +.Kj
❑Single Family ❑Duplex ❑Multi-Family DRental - Commercial °Industrial
i
Number of Fixtures: Roof Drain
Sump Pump Plaster Sink
Bathtub Soda Disp
San.Sump/Pump Scullery Sink
Shower Coffee Mkr
Water Softener Service Sink
Whirlpool Site Drain
Standpipe Rcc Shamp Sink
Lavatory Sin Garage FD Surgeons Sink
Wailrs
Toilet ice Chest
Local Waste Sterilizer
Disposal ItPZ Valve Comm Ice Maker
Disposal Bu Sink Inl(}rase Trap Hreaknn Sink Bidet
Dishwasher Urinal Era Grease Trap
Floor Drain CMusna Sink
[lose Bibb Exam Sink
Beet Tap Eye Wash Stn
Dipper Well Deduct Meter
F Ptep Sink W Ir Sewer Mk
Water Heater Drink Fntn
0 Ou D Elect 0 PwrVnt Floor Sink WI,Usage Mh
Hand Sink Wash Fntn
Cloihes Wshr Min Fixtures
Lndry Tray Lab Sink Catch Basta
Electric Contractor(for projects not requiring an EIV Form)
Use/Nature of Work -, c .- C_) Lk ) ¢,k0 A.
Size
Material Type 0 Conn.Type
Sanitary Sewer
Stone Sewer
Water Service
06/09