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HomeMy WebLinkAbout0104106-PlumbingOSHKOSH ON THE WATER .lob Address 528 W SOUTH PARKAVE Contractor SOPER PLUMBING CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner M & I MARSHALL & ILSLEY BANK Category 410 - Residential-Interior No 104106 Create Date 09/11/2003 Plan Bathtub 0 Shower 3 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0 Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0 Lavatory 3 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0 Toilet 3 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0 Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0 Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0 Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 0 Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Use/Nature SFR/Remodel. of Work Size Material Type # Conn. Type Sanitary Sewer 0 0 0 0 0 Storm Sewer 0 0 0 0 0 Water Service 0 0 0 0 0 Valuation $5,000.00 Plan Approval $0.00 Permit Fees $54.00 ~ Permit Voided Issued By Date 09/11/2003 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 2225 BURNWOOD DR Oshkosh WI 54902 - 0000 Telephone Number 426-2151 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 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 528 W SOUTH PARK AVE Owner M & I MARSHALL & ILSLEY BANK Contractor SOPER PLUMBING Category 410 - Residential-lntador Bathtub 0 Shower 3 Ejector/Grind 0 Dip Well 0 F Prep Sink Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink Lavatory 3 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink Toilet 3 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker No 104106 Create Date 09/11/2003 Plan 0 Gar Drain 0 0 Soda Disp 0 0 Coffee Maker 0 0 lnt Grease Trap 0 0 Ext Grease Trap 0 0 RPZ Valve 0 0 EyeWash Statn 0 0 0 Use/Nature SFPJ Remodel. of Work Sanitary Sewer Storm Sewer Water Service Size Material Type # Conn. Type 0 0 0 0 0 0 0 Valuation $5,000.00 Plan Approval $0.00 Permit Fees $54.00 [] PermitVoided~ Issued By Da~ 0~11~003 In the performance of this work, I agree to perform all work pursuant to rules governing the descdbed construction. White the City of Oshkosh has no authority to enforce easement rastdctions 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 h~lder(s) a~ secure any n~sary approvals before star~ing such activity. Signature~J ~.~J~ ~.~.~..~_..._---- Date ~ -- ~ f Agent/Owner Address 2225 BURNWOOD DR Oshkosh WI 54902 - 0000 Telephone Number 426-2151 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 pe~ormed within two business days from the time the project is ready. City of Oskkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 O./HKO/H 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 ail 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 I£¥ou are a contractor participating in the Permit Fee Account System and have adequate £und& check here i£¥ou want thix processed through Four account Job Address ..5'-.~P talk .50, ~,,~t~. Value (lncludinglaborandmaterlals~ Date Owner Contractor ,...~ _x'q~ ~j~,.,e_j ~ [~Single Family [~Duplex [--]Multi-Family [~]Rental [~Commercial ~]Industrial Number of Fixtures: Bathtub Lndry Standp Dent. Oper. Shamp Sink Whirlpool Disposal Dip Well Flr/Wst Sink Lavatory ~ Dishwasher Drink Fm Catch Basin Toilet ~ Sump Pump Wait. St. Wash Fm Res. Sink Ejector/Grind Ice Chest Urinal Bar Sink Water Sofmer Exam Sink Gar Drain Water Heater Local Waste Sculry Sink Soda Disp [] Gas [] Elect O pwrVnt Clothes Wshr Hand Sink Coffee Maker Shower ~ Bidet F Prep Sink Ice Maker Floor Drain Beer Tap Serv Sink Site Drain Lndry Tray Classrm Sink Iht Grease Trap Roof Drain Lab Sink Surgeons Sink Ext Grease Trap Standp Rec Plaster Sink Breakrm Sink R;P.Z. Valve Eye Wash Sm Sterilizer Electric Contractor Use / Nature of Work Sanitaxy Sewer Storm Sewer Water Service OR [~Electric Installation Verification form attached (If Replacement) Size Material Type # Conn. Type 7/03