HomeMy WebLinkAbout2013-PLumbing (addn to #154677) /�'� CITY OF OSHKOSH No 155655
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3735 S WASHBURN ST Owner ZBW LLC Create Date 05/15l2013
Contractor JT SCHMIDT PLUMBING INC Category 445-Commercial-Exterior Other Plan
Inspector Jerry Fabisch
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
Whiripool 0 Sump Pump 0 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0
-- - -
Lavatory 0 San Sump/Pump 0 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. p
Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. p 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 0 Bar Sink 0 Serv Sink 0 Wash Ftn 0 Ext Grease Trap 0
Hose Bibb 3 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 0
Use/Nature OMM(BIG RIG CHROME SHOP)ADDITION TO PERMIT#154677-ADD HOSE BIBBS "check#11844
of Work
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Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1366500100
Valuation $200.00 Plan Approval $0.00 Permit Fees $27.00 ❑ Permit Voided �
Issued By��i — Date 05/15/2013
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
AgenUOwner
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.
������� �
City of Oshkosh
Inspection Services Division �
P O Box 1130 MAY 15 2013 �
Oshkosh,WI54903-1130
Phone:(920)236-5050
Fax:(920)236-5084 DEPAi2'F;01£�T OF ���/O��J
C0�1�fU\iTY�EYELOP� I\ I I
INSPECTTOv ytFR�'10ES Dl�'ISIO��TH`t'rnrFF
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 perforn►ance 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 Inspeciion Services,PO Box 1128,Oshkosh WI
54903-1128. Commencing work wi�out pennit(s)will result in fees being doubled or$100.00 pius the normal permit fee,which
ever is greater.
OR
Jj vou are a contractor varticloatin,e in the Permit Fee Account Svstem and have adequate funds check here
i,[youu want this processed throu�{h ,your account n
**Advisory-For applicable projects,an Electrical Installadon Verificadon(EI�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 snch is required, will not be
proccssed for Permit Issuanc�and will be returned for completion.
..�7.�s � I �
Job Address�-�`rt�+6vM�v�- VAIUe(Includinglaborandmaterials) ��� � Date 5' �l �
Owner � ; �iD � S�io Contractor �f�!M,�� l�C�,YtI,,.��'
❑Single FAmit ❑Duplex QMulti-Family ❑Reatai �'Commercial ❑Industriat
Number of Fixtures:
Bathwb Sump Pump Plaster Sink Roof Drain
Shower San.Sump/Pump Scullery Sink Soda Disp
Whirtpool Water Softener Service Sink Coffee Mkr
Lavatory Standpipe Rec Shamp Sink Site Drain
Toilet Garage FD Surgeons Sink Waitrs Stn
Kit Sink Local Waste Sterilizer Ice Chest
Disposal Bar Sink RPZ Valve Comm Ice Maker
Dishwasher Breakrm Sink Bidet Int Grease Trap
Floor Drain Classrtn Sink Urinal Ext Grease Trap
Hose Bibb � Exam Sink Beer Tap Eye Wash Sm
Water Heater F Prep Sink Dipper Well Deduct Meter
❑Gas 0 Elect i7 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
Electric Contractor(for projects aot requiring an EIV Form)
Use/Nature of Work t1�C. � 9� ��� {r,c•t,'�.� �� �7�7 v � �v
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
06/09