HomeMy WebLinkAbout0156382-Plumbing (addn to #154080) � CITY OF OSHKOSH No 156382
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1300 N SAWYER ST Owner CITY OF OSHKOSH Create Date 05/28/2013
Contractor AHERN-GROSS 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 0 San Sump/Pump 0 Fir/Wst Sink 0 Bidet 0 Site Drain 0 Misc. p
Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 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 1 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 iCOMM/replacing service sink/additional fixture added to permit#154080
of Work
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Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1600260000
Valuation $200.00 Plan Approval _ $0.00 Permit Fees $9.00 ❑ Permit Voided j
Issued By �ly� Date 06/26/2013
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 easemeM 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 218 S MAIN ST FOND DU LAC WI 54935 -4908 Telephone Number 920-921-1414
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 pertormed within two business days from the time the project is ready.
City of Oshkosh ]Z�+ f���
Inspe�tion Services Division � �
P O Box 1130 �
Oshkosh,WI 54903-1130 �' �UN 2 �J 2�13
Phonf:(920)236-5050 '
�FaX{�920)236-5084 ' O��((1 ��f
;' i DEPARTAIE\T OF ��UJ I I
� 1 C0�1\IlJ\ITY'DE�'ELOPME;VT ON Tt+F wArF�
Plumbing Permit�R�s�l�����•��s�a"
I hereby apply for�permit to do and install the fol(owing plumbing on the premises hereinafter describe8,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
54903-1 1 28. 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 Ivou are a contractor narticipating in the Permit Fee Account Svstem and have adequate funds check here
if you want this processed throu�vour account n
**Advisory-For applicable projects, an Electrical Installation Verification(EI�form, signed by the Electrical
Co,ntractor or Homeowner(for installations allowed to be performed by the homeowner)mnst be submitted
with the pernut application. Applications submitted withont an EIV when snch is reqnired, will not be
processed for Permit Issuance and will be retarned for completion.
Job AddressT`� �(, ,�� Vallle(Including labor and materials) Date �Z ��
Owner C1'A� d�r �51��..C�S� Contractor ��.d— �,--r't,o7�. �t.
❑Single Family ❑Duplex ❑Multi-Family ❑Rental [a'Commercial ❑Industrial
Number of Fixtures: ' ' � �,('j(�
Bathtub Sump Pump Plaster Sink ''Roof Drain
� �
Shower San.Sump/Pump Scullery Sink ' Soda Disp
Whirlpool Water Softener Service Sink _� Coffee Mkr
Lavatory Standpipe Rec Shamp Sink Site Drain
Toilet Garage FD Surgeons Sink Waitrs Sm
Kit Sink Local Waste Sterilizer Ice Chest
Disposal Bar Sink RPZ Valve Comm Ice Maker
Dishwasher Breakrm Sink Bidet [nGGrease Trap
Floor Drain � Classrm Sink + Urinal '� � �xt Grease Trap
Hose Bibb Exam Sink I3eer Tap Eye Wash Stn
Water Heater ,F Prep Sink Dipper Well _ Ded�lct Meter
:Gas I Elect i PqvrVnt 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�ontractor(for projects not requiring an EIV Form)
Use/Nature of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer '
Water Service
06/09