HomeMy WebLinkAbout2013-Plumbing � CITY OF OSHKOSH No 156524
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1506-1518 S MAIN ST Owner BLENDED WAXES PROPERTIES LLC Create Date 07/03/2013
Contractor JIM'S PLUMBING&HEATING INC Category 440-Industrial-Interior Plan
Inspector Jon Mueller
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
WhiMpool 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 2 Wait.St. � Fixtures
Kit Sink 1 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 1 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 IND/plumbing remodel —
of Work
*"debit acct***
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0305310000
Valuation $7,000.00 Plan Approval $0.00 Permit Fees $81.00 ❑ Permit Voided I
Issued By �� Date 07/03/2013
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit app�icant to contact the
easement holder(s)and to secure any necessary approvals before starting such activity. °
Signature Date
AgenUOwner
Address W6166 GREENVILLE DR GREENVILLE WI 54942 -9676 Telephone Number 920-757-5258
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
07/03/2013 07:12 FAX 920 757 6482 JIM'S PLUMBING �j001/002
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1115�)��Tii!;1 Cc'1'VICc$ Ulb'IS10ll
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Plumbing Permit App(ication ON THF WATFR
? I�e?�eb} .;��pl,, For a reri��it tc�dc� at;u ii;:t;,;? ih�� Collo��ing i�lumbir;�n;; ;;,e pi•emisc;s hereinafter de_eribed, il�e work to eonform to th�
�`'isc���sin Stai.e Plutnbinp Cc�ie, i;� t};e��erFormance oC�i�i�i�li<�1: ti,ar;ies hereto a;;ree to a��� are bound by said statutes.
° \p� � u ��m(s)attd fee(sj�_an be bro�:•�i;�tc�Cit,� flall., Ri�nm"(�> :n�iied to Jnspection Service,, P{?Bo� 1128,Oshkosh WI
`'��} � t t?i� ��ui1ll11C11CIIlC �§'01"{: F�'IT{lc:�ll��}el'Il1lt.�S)14'1�� CzSii�i ;li i�ZS be;ng doubled or 1 fIC�.�iO �
e�c �, ���eater.
$ }.ius the noirtnal pern�ik fee;�vhich
� OR
i/ I�'i: c ! . _ ,:O'r)I?'pClOi' Jril'I1C.L-i::i77^ il"1 1�7c ��E'!'1)7tl Fi'°' i I
�: t. Sv,�•leni CZl'1(:� I1i1L'� :1::.��uate funds check J�er�>
li r�t/ .i,�t, !til) !�i'OCCS'SC�Cl t111'�ri(Qt* •'(�r�Y qCC!>7 i2i �
��� Advisoz-y -For apJ��Iieable projects, au1 Electt�ical It�staIlation Verifie�tioix(EIt-'} forzn, signed by t�ie ElectricaI
Contractor or Homenwn.eY•{for installations aliowed fo be perfonned by the]iomeowner) must be suUmitted
wit:}i the pei7nit applacaiioYi. Applications stibu�itteci withoeit an EI'V w��.en s�ich is required, will not be
�rvicessed for Permit Issttanee a�xd wiI! be reriir�ied for caanpletioY�.
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:�un�ber of Fixtut•es:
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�:''�"�` Site Urain
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Flectr•ic Coi�tractot- (t�ot" Pi"ojects not requirinT �ti� 1CIV �ezt•rF�)
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