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� CITY OF OSHKOSH No 157626
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 639 WITZELAVE Owner CITY OF OSHKOSH Create Date 08/05/2013
Contractor IDEAL MECHANICAL Category 442-Commercial-Interior(New/Relocated Fixt Plan E8-512-0913-P
Inspector Jerry Fabisch
Bathtub 0 Clothes Wshr 0 Classrm Sink 0 Surgeons Sink 0 Roof Drain 28 Deduct Meters 0
Shower 5 Lndry Tray 0 Exam Sink 0 Sterilizer 0 Soda Disp 0 Wtr Sewer Mtrs 0
Whirlpool _ 0 Sump Pump 1 F Prep Sink 0 RPZ Valve 3 Coffee Maker 0 Wtr Usage Mtrs 32
Lavatory 8 San Sump/Pump 0 FIr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. p
Toilet 8 Water Softner 0 Hand Sink 0 Urinal 5 Wait.St. 0 Fixtures
Kit Sink 0 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest 0
Disposal 0 Gar Drain 16 Plaster Sink 0 Dip Well 0 Comm Ice Maker 2
Dishwasher 0 Local Waste 0 Sculry Sink 0 Drink Ftn 2 Int Grease Trap 0
Floor Drain 10 Bar Sink 13 Serv Sink 1 Wash Ftn 1 Ext Grease Trap 1
Hose Bibb 8 Breakrm Sink __ _1 Shamp Sink 0 Catch Basin 18 Eye Wash Statn 15
Water Heater 16
UselNature ,CO M/M CITY OF OSHKOSH/Interior plumbing for new City Garage building �
of Work '
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0603510100
Valuation $600,000.00 Plan Approval $0.00 Permit Fees $0.00 ❑ Permit Voided
Issued By �- Date 09/10/2013
In the perFormance of this work, I agree to perForm all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the
easement holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address 5635 WEST DOUGLAS AVE. MILWAUKEE WI 53218 -0000 Telephone Number 414-358-2505
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specifed otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
-- r-------- -✓ �_�..�......�..��W»..�.... �»......«....
with the permit application. Applications submitted withont an EIV when snch is reqnired, will not be
processed for Pernut Issnance and will be retnrned for completion.
2�, L� d «
Job Address �DJU ��TZ.fL ��IJE V$lUC(Includinglaborandmaterials) ��i�• Date 9-5-13
c�ty of osnkosn
Inspection Services Division �
P O Box 11"i0 �
Oshkosh,WI 54903-1130
Phone:(920)236-5050 �_�
Fax:(920)236-5084
ON TNF WATER
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 ar mailed to Inspection Seroices,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/'vou are a contractor narticipating in the Permit Fee Account Svstem and have adequate funds check here
�vou want this processed throuph vour account n
**Advisory-For applicable projects, an Electrical Installation Verification(EI�form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)mnst be snbmitted
with the permit application. Applications submitted without an EIV when snch is reqnired, will not be
processed for Permit Issuance and will be retarned for completion.
p � �a.
Job Address �D� �l1�r�"Z�1, ti+�ttJiJE VilIUC(Includinglaborandmaterials) �o�i�� Date cl-5-�3
Owner C�y c�r C�srf�-1 Contractor �DEAL IU���cA L C,�:�N r2'u r�,L 'k �2�,32 t
❑Single Family ❑Duplex ❑Multi-Family ❑Rental Commercial ❑Industrial
Number of Fixtures:
Bathmb Sump Pump i Plaster Sink Roof Drain 2 g
Shower 'Jr 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 Sm
Kit Sink Local Waste Sterilizer Ice Chest
� C'A�f G�s` .� comm Ioa Maker �+
Dis sal ink � 3 RPZ Valve
Dishwasher Breaknn Sink �_ Bidet In Grease Trap
O�L W�►�LL "
Floor Drain �0 Classrm Sink Urinal J'r _L
Hose Bibb �_ Exam Sink Beer Tap Eye Wash Stn � 5
Water Heater ��O F Prep Sink Dipper Well Deduct Meter
�I Gas f�Elect�((PwrVnt Floor Sink Drink Fnm Z. Wtr Sewer Mtr
Clothes Wshr Hand Sink Wash Fnm � Wtr Usage Mtr
Lndry Tray Lab Sink Catch Basin �(J Misc Fixtures �
'�p-�AL �1�C1 6� �,
Electric Contractor(for projects not requiring an EIV Form) � l,'141, .
Use/Nature of Work 3���-�o rc. �L�.frr�b�ti-e, -�o:� 1��,,� QsN�cas►� D�'� i�,�� Id��-�c�
Size Material Type # Conn.Type
Sanitary Sewer �,� �V�-
Storm Sewer j 8 ��L
Water Service �3� 13�.� crlk�o�-s
MA,�� vcurndE�L - /U
,ki ScHE��=� � �S�iqS"%
06/09
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