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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