The URL can be used to link to this page

Home My WebLink About0157066-Plumbing (RP for irrigation) � CITY OF OSHKOSH No �5�oss OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 780 HIGH AVE Owner BOARD OF REGENTS UN�V OF WIS SYS Create Date 08/02/2013 Contractor BENO PLUMBING _ 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 FldWst 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 1 Serv Sink 0 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 ;COMM/install RP for irrigation '"check#45697,45700 � of Work ' , � I ' _� Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 0506650000 Valuation $1,000.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided Issued By � L Date 08/06/2013 : 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 PO BOX 8025 GREEN BAY WI 54308 -8025 Telephone Number 920-468-4777 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 Inspection Services Division � P O Box 1130 � Oshkosh,WI 54903-1130 Phone:(920)236-5050 Fax:(920)236-5084 OJf--IK� ON THE WhTER � 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 ofwhich 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 vou are a contractor participatin,e in the Permit Fee Account Svstem and have adeguate funds, check here if vou want this processed through vozrr accozrnt n **Advisory-For applicable projects, an Electrical Installation Verification(EI�form, signed by the Electrical Contractor or Homeowner(for installations allowed to be pexformed by the homeowner)must be submitted with the permit application. Applications submitted without an EN when such is required, will not be processed for Permit Issuance and will be returned for completion. � Job Address �8� N�6 K �� VaIUe(Including labor and materials)_ I� �� Date 7�3�—�� Owner uw �SW K�SN-'r�4Y��R Hr��.L Contractor ��Nv Pc-� e-t B�i NC� ❑Single Family ❑Duplex ❑Multi-Family ❑Rental �Commercial ❑Industrial Number of Fixtures: 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 Gazage FD Surgeons Sink Waitrs Stn Kit Sink Local Waste Sterilizer Ice Chest Disposal Bar Sink RPZ Valve � Comm Ice 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 0 Elect O PwrVnt 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 Contractor(for projects not requiring an EIV Form) Use/Nature of Work �N�r��1. 6� P� Fn R E X T-r�6t�.�r� � R(�S G�4 T� o � Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service 06/09