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Home My WebLink About0155970-Plumbing (interior) � CITY OF OSHKOSH No 155970 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1008 VERN AVE-EAA GROUNDS Owner Create Date 06/04/2013 Contractor KOCH PLUMBING 8 HEATING INC Category 442-Commercial-Interior(New/Relocated Fixt� Plan D8-503-0513-P 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 36 San Sump/Pump 0 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. 0 Toilet 33 Water Softner 0 Hand Sink 0 Urinal 15 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 6 Int Grease Trap 0 Floor Drain 9 Bar Sink 0 Serv Sink 1 Wash Ftn 0 Ext Grease Trap 0 Hose Bibb 4 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0 Water Heater 1 Use/Nature COMM/interior plumbing associated with the addition to a commercial building for bathroom facalities of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# Valuation $75,000.00 Plan Approval $0.00 P rmit Fees $945.00 ❑ Permit Voided I Issued By .� � Date 06/04/2013 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 2005 DOTY ST OSHKOSH WI 54902 -7040 Telephone Number 920-231-6661 or 235 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. Ciry of Oshkosh Inspection Services Division � PoBoXii3a pshkosh,WI 54903-1130 Phone:(920)236-5050 O�KOJ�---I Fa�c (920)236-5084 0:��H�wares Piumbing Permit Applica�on I hereby apply far a p�nt to do and install the following Plumbing on the premises hereinafter described,the work to confoan to the Wisconsin State Plnmbing Code,in the pecforn�rance of which all pazties 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 Bax 1128,Oshkosh WI 54903-1128. Commencing work without pertnit(s)will result in fees being doubled or$100.00 plus the normal permit fee,which ever is greater. OR I ou are a contractor artici a in in the Permit ee Account S stem and hav ade uale unds check here i on want thia r cessed throu h ottr accou t **Advisory-For applicable projeca,au IIecirical In�allation Verifiration(EIV)form,si8ned bY t�Electdcal Contractor or Homeowner(for instaIlations aIIowed tu be perform+ed bp the homeowner)mnst be sabmitted with the Pernut aPPlication. Applications sabmitted withont an EIV wl�a snch is re.qn�ed,w�l not be processed for Penmt Tssaance and w�l be retarned for completion. q t>Gb °= Date Jv�r 3,Zo/3 Job Address lDO b ✓�'�� • VSlile (Including labor and materials) /S Owner /C�� Contractor /1 DL/-� �L fa�� . OSingle Family []Duplea OMulti-Family []Rental �Commercial �Industrial Number of Fiatnres: S�p p�P Plaster Sink Roof Draln Bathcub Soda Disp Shower San-SvmP/PumP Scvllery S�nk Service Sink ___`____ Coffee Mla' �1 Water Softener Site Drain �O Standpipe Rec Shamp Sink Lavatary .�._ Waitrs Sm Toitet � Garage FD Surgeons Sink I.ocat W�e Sterili�rr Ice Chest - Kit Siolc Comm Ice Maker Bar Siuk RPZ Valve - D� Bidet Int Gr�se Trap Dishwasher Brealam Sink " Cla�rm Sink Udoal �� Ext G�ease TreP Floor Drain � Beer Tap Eye Wash Sm Hose B3bb � �n`Slnk Deduct Meter J . F Prep Sink Dipper Well ,, Water Heater ��k F� � . Wtr Sewe'M� �Gas�Elect�PwrVnt Floor Sink — Wash Fnm Wtr Usage Mtr Clot�s Wshr Hand Sinh s Lndry Tray Lab Sink Catch Basfn Misc Fixtures Electric Contractor(for projects not reqairiag an EIV Form) ` /�'� ��f�d�i''�°I �?��J�� :��`I '�--'� � it``' f f ,;f !�`. .r'�`° M,-� Use/Nature of Work � �- � 5 � �.^� Size Material Type # Conn.Type � � Sanit�y Sewer . - Storm Sewer Water Service p This installation is complete and may be inspected at any time_ 06/09