HomeMy WebLinkAbout0157784-Plumbing (new sinks) � CITY OF OSHKOSH No 157784
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 218-252 WISCONSIN ST Owner HIWISCA LLC Create Date 09/16/2013
Contractor WATTERS PLUMBING Category 442-Commercial-Interior(New/Relocated Fixt� Plan
Inspector Jerry Fabisch
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 1 RPZ Vaive 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 0 San Sump/Pump 0 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. 0
Toilet 0 Water Softner 0 Hand Sink 1 Urinal 0 Wait.St. � 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 1 Drink Ftn 0 Int Grease Trap 0
Floor Drain 0 Bar Sink 0 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 jCOMM/plumbing associated with the installation of new sinks'***LATE FEE ADDED FOR WORK DONE PRIOR TO
of Work ISSUANCE OF PERMIT AND DONE BY OWNER OF PROPERTY/ALL WORK WILL NEED TO INSTALLED PER
�CODE**'*
I �
;*debit acct'*
I
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel fd#
0103150000
Valuation $1,500.00 Plan Approval $0.00 Permit Fees $130.00 ❑ Permit Voided'
Issued By J"1/`� Date 09/18/2013
v
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the
easement holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address PO BOX 118 MENASHA WI 54952 -0118 Telephone Number 920-733-8125
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
9/17/2013 TUE 15: 07 FAX 920 733 2713 Watters Plumbinq �001/001
City of Oshkosh
Inspection Services Division �
P O Box 1130 I� �
Oshkosh,WI 54903-1130 n�� ���
Phone:(920)236-5050 � # j
Fax:(920)236-5084 � � HK �H
ON THE VJnTER �
. Plumbing Permit Applica�ion
I hereby apply Eor a permit to do and install the following plumbing on the premises hereinafter described,the work to conform to the
Wisconsin State Plumbing Code,in the pezformance of which all parties hereto:sgree to and are bound by said statutes.
• Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128,Oshkosh VJI
54903-1 1 28. Commencing work without permit(s)will resuit in fees being doubieci or$IOO.00.plus the normal permit fee,which
ever is greater.
OR
1 ou are a contractor artici atin in the Per�mi.t ee Account S stem and have adeguate,t'unds. check here
i ou want thi.s rocessed throu h our account
**Advisory-For applicable projects, an ElectricaI Installation Verificaii�on(EI�form, signed by the Electrical
Connactor or Fiomeowner(for instaIlations allowed to be performed by the bameowner)must be submuitted
with the permit application. Applicadons submitted without an EIV wben,such is requixed, will not be
processed far Pecmit Issuance and w�I be returned for completion.
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Job Address ������/v �� � V�UC(Including laborand materials) • Date l �
Owner �,/�P���4� ��. Conh�actor .�S�'"
❑Single Family � []Duplex ❑NIuiti-Family ❑Rental ommercial ❑industrial
Numbe�r of Fiztures: J�^ ���"��`��YS 7�/
Barhtub Sump PumP Plastec Sink Roof Drain
Showor San.Sump/Pump Scullery Sink,3�� Soda Disp
�i�P�� Water Sottena Setvioe Sink Coffce Mkr
Lavatory Standpipe Reo Shamp Sirtk Site Drain
'foilet Garagc FD Surgeons Sink Waitrs SM
Kit Sink I,oaat Waste __ Stcrilizer Ice Chest
Disposnl Ber Sink RPZ Valve __ Comm Ice Ivluka
Dishwasher Breskmt Sink. _, Aidet Int Grease Trup
Ek>or Drain Clessrni Sink Urinal Ext Grense Trap
Hosa FSibb Exam Sink _ Decr Tap Eye Wash 5tn
Watet Heater F Prep Sink Dipper Well Dednct Melcr
U Gas U Elect U AvrVnt Floor Sink Drink Fnm Wu Sewer Mtr
Clothes Wshc Hund Sink �_ Wash Fntn Wtr Uaage Mtr
L.ndry Ttey L,ab Sink Catclt Basin Misc Fixtures
Electric Contractor(for projects not requiring an EIV Forna)
Use/Na�re of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service I
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