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Home My WebLink About0158362-Plumbing (floor & site drains) � CITY OF OSHKOSH No 158362 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 375 N EAGLE ST Owner OSH AREA SCHL DIST WEST HIGH Create Date 10/21/2013 Contractor GARTMAN MECHANICAL SERVICES 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 0 RP2 Vaive 0 Coffee Maker 0 Wtr Usage Mtrs 0 Lavatory 0 San Sump/Pump 1 Flr/Wst Sink 0 Bidet 0 Site Drain 1 Misc. 0 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 4 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 to add floor drains and sanitary sump for floor drains in basement area/separating storm of Work ,rom sarntary sewed plugging storm drains � � Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1608720100 Valuation $39,880.00 Plan Approval $0.00 Permit Fees $54.00 ❑ Permit Voided' Issued By �^','7'. Date 10/21/2013 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)an to ecu e sa prov efor arting such activity. , �� Signature -.�:� � Date �� A enUOwner 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. � City of Oshkosh Inspection Services Division � P O Box 1130 � Oshkosh,WI 54903-1130 Phone:(920)236-5050 Fax:(920)236-5084 o1HKO.��---� ON Ti-IF.INRTFR Plumbing Permit Application I hereby apply for a pernut 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 vou are a contractor participating in the Permit Fee Account System and have adeguate funds, check here if vou want this processed through vour account n **Advisory-For applicable projects, an Electrical Installation Verification(EI�form, signed by the Electrical Contiractor or Homeowner(for installations allowed to be performed by the homeowner)mnst be submitted with the permit application. Applications snbmitted withont an EIV when snch is reqnired, will not be processed for Permit Issnance and will be returned for compledon. • : � o/ � Job Address�J/J . �2a/�i�� VSIUC(Includinglaborandmaterials) �U' � Date � /� Owner �S"��o,S°/�� D�Contractor �� ,....�II� � : ❑Single Family ❑Duplex ❑Multi-Family ORental Commercial ❑Industrial Number of Fixtures: Bathtub Sump Psmp 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 Waihs 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 0 Gas 0 Elect 0 PwrVnt Floor Sink Drink Fnm 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 requir' an EIV Form) Use/Nature of Work �/'l�.T �/� � � / �'�� ,� Size Material Type # Conn.Type �J�d�/''� /r_ Sanitary Sewer �j Storm Sewer �� .y, Water Service ��'��/ C/..�� !�`_J ��/-// �v�' fa�� 1-�.C�y'�, /`f0'/��.� G,�'✓i—/,i' CJ�,/'i��%��11��i� 0 6/0 9 /Ci ' � /ai � ✓