HomeMy WebLinkAbout0157875-Plumbing (addn to #148238) � CITY OF OSHKOSH No 157875
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 522 530 N MAIN ST Owner OSHKOSH HOUSING AUTHORITY Create Date 09/06/2013
Contractor JIM'S PLUMBING&HEATING INC Category 442-Commercial-Interior(New/Relocated Fixt� Plan 01-444-1011-P
Inspector Jerry Fabisch
Bathtub 1 Clothes Wshr 0 Classrm Sink 0 Surgeons Sink 0 Roof Drain 0 Deduct Meters 0
Shower 34 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 35 San Sump/Pump 0 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. p
Toilet 35 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. 0 Fixtures
Kit Sink 35 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 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 COMM/interior plumbing associated with the remodel of apartment building/this is for the theatre part of the building
of Work 'on the back half
�
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0401220000
Valuation $180,000.00 Plan Approval $0.00 Permit Fees $1,260.00 ❑ Permit Voided I
Issued By �� Date 09/23/2013
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the
easement holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address W6166 GREENVILLE DR GREENVIL�E WI 54942 -9676 Telephone Number 920-757-5258
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not pertormed within two business days from the time the project is ready.
09/06/2013 10:16 FA% 920 757 6482 JIM'S PLUMBING C�001/001
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lnspectit�n �e�vices Division :
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l'ho:�e: ;��<�,�;33C-_50�0
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�'lurnbing F�rmit ApplicatiQn ON THE WATER
1 ����,°�-'� :�;:�;.�!y Ior a permit.tc} do an� i�rtall III� IUIIOWIII��11U111��1I1�Qi1 tiie premises hereir�after described,the work to conform to th�
�'�i�co�tsi:i �t�tc Pli�mbing C:ede, in t.he performance of���i;;c1���':1 parti�s►�eretc� aoi�ee tc and are bound by said statutes,
� :1�;;!;eationlsj and fee(sj c��n be ��co!i��i:t to City 1-fall, Rc��m ?ii� �;;; ;•»�ile:d lo Inspecfion Services, I'O Box 1128,Oshkosh �VI
��9U�-i i28. Commencin�`��orh�viil�out p�rmitEsj u,�;ll rasuit i.n ;ees being doubled or$IOd.OG plus the normal permit fee,:�'r,ict
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'''��' ��ivisorF- Far applzeable projects, a���lect��ical I�istatlation VerifcatiaYi(EIV} fonn, signed by the Electrical
C.:onn�actoi� or Ho�ueowiaer(for installations allowcd to be perfor�ned by the liameo�vFier) rt�ust be subruitted
�vitii tl�e per�nit application. ApplicatioYa.s sYib�nitted withattt at�EN wl�en sueh is required, will not be
��z�acessed for PeriY�it Issuanee and wiZ1 be reh�z-�ied far caanpletior�.
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