HomeMy WebLinkAbout0154410 - Plumbing (RPZ to comply ) CITY OF OSHKOSH
No 154410
OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER Date 02/11/2013
Owner OSH AREA SCHL DIST FRANKLIN —
Job Address 1401 W 5TH AVE —-- Plan
Contractor BASSETT MECHANICAL —___——--
Category 450 Industrial Other --___— --
Inspector _ — --- — p Surgeons Sink 0 Roof Drain
0 Deduct Meters —
— 0
0 Classrm Sink g --- 0 Wtr Sewer Mtrs
Shower 0 Lndry Clothes ay 0 Soda Disp
0 Exam Sink 0 Sterilizer 0 Wtr Usage Mtrs
Shower 0 Lndry Tray 0 RPZ Valve 1 Coffee Maker —
Pump 0 F Prep Sink _ 0 Misc. --_-___
Whirlpool _0 Sump --- 0 Bidet -__ 0 Site Drain —_
0 FIr/Wst Sink 0 Misc.
Lavatory 0 San Sump/Pump —__ p Urinal 0 Wait.St. —
p Water Softner 0 Hand Sink —_- 0 Ice Chest 0
Toilet —-" 0 Beer Tap 0 Standp Rec 0 Lab Sink
Kit Sink — 0 Dip Well 0 Comm Ice Maker 0
_ 0 Gar Drain 0 Plaster Sink —_ 0
Disposal _ p Drink Ftn 0 Int Grease Trap
0 Sculry Sink p
Dishwasher _ __Local Waste _— 0 Wash Ftn 0 Ext Grease Trap
_ 0 Bar Sink 0 Sery Sink 0
Floor Drain Sink 0 Catch Basin 0 Eye Wash Statn
0 Breakrm Sink 0 Shamp
Hose Bibb
Water Heater 0 ----- — — — ---7 UselNature IIND RPZ to comply
with Hydro Designs survey.
of Work I
--- --
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0608530000
$30.00 ❑ Permit Voided 1
Approval $0.00 Permit Fees _ _00 Date 02/11/2013
Valuation $1,500.00 Plan App ----- --
Issued By
In Wh l performance he City of of this has no authority perform to enforce pursuant
of which itt is not a pay,if you perform the work
While the City of Oshkosh applicant to contact the
described in this permit application within an easement,oyals before starting such actvity permit app
easement holder(s)and to secure any necessary app Date
Signature
Agent/Owner
KAUKAUNA WI 54130 -7000 Telephone Number 800-236-2502==920-
Address PO BOX --- Type of
our Name and Phone
To schedule inspections please call the Inspection cess into Building if Secure (how do we gain entry)ey Permit Number,
Number. (i.e. Footing, d otherwise,Final,etc.),A
Number. Unless specified otherwise,we will assume a business days f om the time the pro ectss t'ready.received. Work may
continue if the inspection is not performed within
City of Oshkosh
Inspection Services Division
PO Box 1130
Oshkosh,WI 54903-1 130 �-1 r� fV�_r�
Phone:(920)236-5050 J
Fax: (920)236-5084 ON THF vdatr-ir
Plumbing Permit Application
1 for permit to do and install the following plumbing on te premises hereinafter to and described,d,the wby ork to
said conform
otute to the
I hereby apply P
Wisconsin State Plumbing Code,in the performance of which all parties
• Application(s)and fee(s)can be brought to City Hall,Room 205 05 fees being tooInspection Services,s plus PO Box 1128,Oshkosh
permit fee,which
App will result
Commencing work without permit(s)
ever is greater.
OR
1 ou are a contractor .artici•atin! in the Permit Fee Account S stem and have ade•uate unds check here
i ou want this ,rocessed throu_h our account NI
** -For applicable projects, an Electrical Installation Verification(EIV)form, signed by the Electrical
Advisory PP
Con
tractor or Homeowner(for installations allowed to be performed
when the
is c , will notbe sumitted
with the permit application. App lications submitted without
processed for Permit Issuance and will be returned for completion. 15 0 0 . 0 0 Date Feb .4 , 2 013
Franklin School
Job Address 1401 West 5th St . Value (Including labor and materials)
Bassett Mechanical
Owner Oshkosh Area School Dist Contractor Rental OCommercial ❑Industrial
❑Multi-Family ❑
❑Single Family []Duplex
Number of Fixtures: Roof Drain
Plaster Sink
Bathtub Sump Pump Soda Disp
Scullery Sink
Shower San.Sump/Pump Coffee Mkr
Service Sink
Whirlpool Water Softener _ Site Drain
Shame Sink
Lavatory Standpipe Rec Waitrs Stn
Garage FD Surgeons Sink
Toilet Ice Chest
Sterilizer
Kit Sink Local Waste ] Comm Ice Maker
RPZ Valve
Bar Sink lnt Grease Trap Disposal Bidet —
Breakrm Sink Ext Grease Trap
Floor Drain — Urinal
Classrm Sink Eye Wash Stn
Hose Bibb Beer Tap
Exam Sink Deduct Meter Hose Bibb Dipper Well
F Prep Sink Wtr Sewer Mtr
Water Heater Drink Fntn
LI Gas E.Elect PwrVnt Floor Sink Wash Fntn Wtr Usage Mtr
Clothes Wshr Hand Sink Misc Fixtures
Lndry Tray Lab Sink
Catch Basin
Electric Contractor (for projects not requiring an EIV Form)
Use /Nature of Work Conn.Type
Size
Material Type #
Sanitary Sewer
Storm Sewer
Water Service
06/09