HomeMy WebLinkAbout0155914-Plumbing (replace misc fixtures) � CITY OF OSHKOSH No 155914
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1120 S KOELLER ST Owner 1120 SOUTH KOELLER STREET LLC Create Date 05/31/2013
Contractor JIM'S PLUMBING 8�HEATING INC Category 443-Commercial-Interior(Replacement Fixtun 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
Whirlpool 0 Sump Pump 0 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 2 San Sump/Pump 0 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. p
Toilet 2 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 0 Bar Sink 0 Serv 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 OMM\Replacement fixtures
of Work
I
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1308480300
Valuation 100.00 Plan Approval $0.00 Permit Fees $45.00 ❑ Permit Voided�
Issued By � Date 05/31/2013
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the
easement holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address W6166 GREENVILLE DR GREENVILLE WI 54942 -9676 Telephone Number 920-757-5258
To schedule inspections please call the inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
05/31/2013 14:28 FA% 920 757 6482 JIM'S PLUMBING
f�001/001
Cit�� of�?sh�:a:h
Ins�;ecti,:�n ���r�ices bivi�ion
1.' C) Bo� ll,C� �
,Jsl�l:o�l�, `,G'i �a90;-i 13(_� �
Phone: ,:�>=��t',:3t-5G�0
f'�x: (S�' l =6-3US� ��\L..J
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Rfumbing Pe�mit Applicat�on ON TH WATFR
( hr�.reL� ���� I,. fc,t•a��crmit to do and insi<�ii t��e fi�llo��in;pi�nnbin�er: ±he premises hereinafter clescribe�l, the work to confomi to the
`�'����':�?�s�n State ['lumbin�C:r�e, ii; i;ie��erformance of�a�;;;ch !1 p�;�ties hereto agree to and are bound by said statutes.
* ,�,p;:;ii:at:;�n{;)and fee(sj can be brou�i;? to City Hall, i�oorn 2:?i or;r,ailed to [nspection Service�, PO I3ox I 128,Oshkosh ti'�'I
;`��1��-: 't^�. LAt1lIl1cllCtt] 4V0i'�i '�1'i`;?i?!,f ,�' I
� permit(s)�.ii, resul� �r, �ee�heing dot�i�led or$]UO,OC7 ,�!us the normal permit fee,whi,.ii
�ver ,,��e��ter.
OR
�� ��>j; ::�':: ; 'JlllPCIC10!' c71'71Ci';- i • ' � , .;
, ,:i� the 1 ert,��[ Fc�• ;trtt .Svslem ai��J l:cri:- :<:l.c �tate tends c�:eck %
tT � ��i �;l�t: �{�IS »�•ncescc�rl th,���u�r� t�n�tl• accot��tl
��re
�k a�ivisor�-- �'or applieable projeccs, axt Efectxical Instatlation Veri�cation(EIV} foim, signed by the Electrical
CoFitractaz or Hame�wncr(for inseal(ati�ns allo�ved ta be performeci�y tlte hoi��eo«�ner)must be submitted
wiilz tl�t. pei3nit application. Applicafions subitaitted wititozxt an EIV when such is required, wiil not be
px�ocessed for I'erntit Issixance a�id w i1I be retcxzy�ed for cam.pletio�z.
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Oer�r�e�• �;' z�:: �-��,.�' Cc�ntractar f;F'�.,; ,�:'�',�:
�S�ti�;Tte Fact�ity ❑Dt���leY ❑�7ulfi-T'a���il� ._;Rctzt�I Capi�isier•cial
� ❑Tndustriai
��uml�c:r• nf Fi?�tui•es:
Ci;�;httlt` --. Suni?�`umr
� _�_. ]'i<is:er Sink ._ Rpof Drain
;;iu,���, �._ Sa�;.Sii;nprP::n�l= ----.._. �c:_,:l�r;Sink ___ Soda Uisp
' hi, , ... __ �1 Ncr).�:::��.r ..,. .._��ink Coffee Nkr
L::�.:�it?r;, � Sinnd:,.;;p�i?�._ --•
_ �I,a:,.,�,Sink Si�e Grain
t'uii:t Gt�rnge rD �...-- S;�'°epn<Sink
� «'�itrs Stn
'r.!�\IIiA. __._, �_Cl�tll =��:�i:j., _liCi�iii:i'1'
— ICC CIICSL
]`i�;;��,`;+; f3�r Sin; ---•-- .: :`;nlvc __ Comm!ce h4aker
l;iif�`.�;i.�;i�' __`_ 13ft�k!�':�hi� _ F;i:.l lnt Greuse T;�p
i ��:•�;;�!:'•�:;ir. ___ C;I:is�r;,,�,,... _�__ .. � :
c�r c�z�.���r«�
Fl;r,e i3 bh _ F'sa�i;�i:,k ... L•'c�r'l-:p F.ye Wazh Stn
„',urillea�cr PPrc;��r�;; T i:;p;rr',=:::11 Deducth4eter
�r::.. - ,_.._,_ ;��,�:�v„� r-����� �:,,� �
. �. } • __ i:;:[i�=r•.n Wtr Scwcr Mtr
t.'iu„�c:i`,:;h* _ Hnnd S;nk
^.__ t',asi,!'n�n Wtr Usage Mtr
L�u;��: ';:it __.__ Lcdt$irk -
----- `--,r:.ii u;s:iin . yfisc Fixtures
1Llect►•ic Contr:3ctor (for pt-ojects tiot rec;uit'inn a�x CI.V fiorzi�)
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Size ;`:faterial T}Pz * Cc�n:�. T��pe
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