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HomeMy WebLinkAbout0156791-Plumbing � CITY OF OSHKOSH No 156791 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 375 N EAGLE ST Owner OSH AREA SCHL DIST WEST HIGH Create Date 07/19/2013 Contractor GARTMAN MECHANICAL SERVICES Category 442-Commercial-Interior(New/Relocated Fixt� 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 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 1 Hand Sink 0 Urinal 0 Wait.St. p 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 1 Bar Sink 0 Serv Sink 0 Wash Ftn 0 E�ct Grease Trap 0 Hose Bibb 0 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0 Water Heater 4 Use/Nature SCHOOU boiler room renovations of Work 'ck#45246** Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1608720100 Valuation $120,000.00 Plan Approval $0.00 Permit Fees $54.00 ❑ Permit Voided j Issued By "��y� Date 07/19/2013 v In the performance of this work, I agree to perfoRn 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 520 W SOUTH PARK AVE OSHKOSH WI 54902 -6470 Telephone Number 920-231-5530 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. • C�� �s����� ������� ������ ; �':?� '��; � �' City of Oshkosh �G�Q�f 6� ^ � ; � Inspection Services Division �� . P O Box 1130 ln � ��,� � Oshkosh,WI 54903-1130 �� //�� � � � Phone:(920)236-5050 ��'������ Fax:(920)236-5084 O �--�KO I--� 03V THE lV'RT�R 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 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 54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the normal permit fee,which ever is greater. OR If you are a contractor participatinQ in the Permit Fee Account Svstem and have adequate funds check here if vou want this processed through vour account n **Advisory-For applicable proje�� talladon Verification(EI�form, signed by the Electrical Contractor or Homeowner(for instali-ati��i to be p�rformed by the homeowner)mnst be snbmitted with the permit application. Applications submitted withont an EIV when such is reqnired, will not be processed for Permit Issuanc�d w'��for compledon. � � � J o b A d d r e s s���� �'� V a l ll e(I n c l u d i n g l a b o r a n d m a t e ri a l s) I�O s d�V� D a t e °�G !3 ' PARTAIE\T OF Owner �'H�aN w�'CT H�r � ` �' v nev�J6�t�aitor �/1'�-f �N C Rvi� �n• a�v ❑Single Family ❑Duplex Multi�`ami� ❑Rental ❑Commercial ❑Industrial Number of Fixtures: Bathtub Sump Pump Plaster Sink Roof Drain Shower Saa 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 Ches[ Disposal Bar Sink RPZ Valve Comm[ce Maker Dishwasher Breakrm Sink Bidet Int Grease Trap Floor Drain � Classrm Sink Urinal Ext Grease Trap Hose Bibb Exam Sink Beer Tap Eye Wash Stn Water Heater � F Prep Sink Dipper Well Deduct Meter -Gas C Elect C PwrVnt Floor Sink Drink Fntn Wtr Sewer Mtr Clothes Wshr Hand Sink Wash Fnm Wtr Usage Mtr Lndry Tray Lab Sink Catch Basin Misc Fixtures Electric Contractor (for projects not requiring an EIV Form) Use/Nature of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service �1� °� �� � � �,� r���.���-��� : ,�j 06/09 ��f �a'�G�/ /r'`�� �J�''" ' l� � ���J�����Q� :