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Home My WebLink About2013-Plumbing (interior) CITY OF OSHKOSH No 154677 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 3735 S WASHBURN ST Owner ZBW, LLC Create Date 02/14/2013 Contractor JT SCHMIDT PLUMBING INC Category 442-Commercial-Interior(New/Relocated Fixti Plan K2-494-0213-P Inspector Jerry Fabisch Bathtub 0 Clothes Wshr 0 Classrm Sink 0 Surgeons Sink 0 Roof Drain 0 Deduct Meters _ 0 Shower 1 Lndry Tray 1 Exam Sink 0 Sterilizer 0 Soda Disp 0 Wtr Sewer Mtrs 0 Whirlpool 0 Sump Pump 0 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs _ 0 Lavatory 3 San Sump/Pump 0 Flr/Wst Sink 0 Bidet 0 Site Drain 2 Misc. 0 Toilet 3 Water Softner 0 Hand Sink 0 Urinal 1 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 Sculry Sink 0 Drink Ftn _ 0 Int Grease Trap 0 Floor Drain 4 Bar Sink 0 Sery Sink 0 Wash Ftn 0 Ext Grease Trap 0 Hose Bibb 4 Breakrm Sink 1 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0 Water Heater 2 Use/Nature COMM/interior plumbing associated with the new construction of a commercial building/no exterior plumbing along of Work with this permit/all work will meet approved plans per City of Oshkosh **check#11658 I Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# Valuation $17,.00 Plan Approval $0.00 Permit Fees $198.00 ❑ Permit Voided i Issued By .57/11 Date 03/08/2013 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 419 S WASHINGTON ST COMBINED LOCK:WI 54113 -1049 Telephone Number (920)788-7314 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. viauwaI _- - i CEIVED City of Oshkosh 0 Inspection Services Division MAR 0 8 2013 P O Bo 1 Oshkosh,,WI 54903-1130 Phone:(920)236-5050 ?)r.^,s ,°r,6;vNT or Fax:(920)236-5084 COMMU 1. ?EVELOPIIENT Oil IKOf H ,N,,,,,,,„,,,,,,% gCES DIVISION C'.\ -{c W.TFP Plumbing Permit Application I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described,the work to conform to the Wisconsin State Plumbing Code,in the performance of which all parties hereto agree to and are bound by said statutes. • 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 If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here if you want this processed through your account fl **Advisory-For applicable projects, an Electrical Installation Verification(EIV)form, signed by the Electrical Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted with the permit application. Applications submitted without an EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. Job Address-37356 it.1a ii CcR,J S7 Value(Includinglaborandmaterials) // ("VC". Do Date SA/c;0i3 Owner 65 3 Ckaome. Sha Contractor CJ /-14 P�l t,tt,01 in' e- ZN C', J7S Mrs (Single Family ❑Duplex [Multi-Famil y ❑Rental [Commercial Industrial Number of Fixtures: Bathtub Sump Pump Plaster Sink Roof Drain Shower _—/--- San.Sump/Pump Scullery Sink Soda Disp Whirlpool Water Softener Service Sink Coffee Mkr 3 Lavatory Standpipe Rec Shamp Sink Site Drain a Toilet _3 Garage FD Surgeons Sink Waitrs Stn Kit Sink Local Waste Sterilizer Ice Chest Disposal Bar Sink RPZ Valve Comm Ice Maker Dishwasher _ Breakrm Sink ____L Bidet Int Grease Trap Floor Drain — 9 Classrm Sink Urinal Ext Grease Trap Hose Bibb Exam Sink Beer Tap Eye Wash Stn Water Heater _v F Prep Sink Dipper Well Deduct Meter Gas' Elect PwrVnt Floor Sink Drink Fntn Wtr Sewer Mtr Clothes Wshr Hand Sink Wash Fntn Wtr Usage Mtr Lndry Tray _ / Lab Sink Catch Basin Misc Fixtures N/A k9i.ae= / cie06 Electric Contractor(for projects not requiring an EIV Form) Use/Nature of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service 06/09