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HomeMy WebLinkAbout0158901-Plumbing (laundry box) � CITY OF OSHKOSH No 158901 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 40-90 WISCONSIN ST Owner D8�F INVESTMENTS Create Date 11/22/2013 Contractor TUREKS PLUMBING INC _ Category 442-Commercial-Interior(New/Relocated Fixt� Plan Inspector Jon Mueller Bathtub 0 Clothes Wshr 1 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 Fir/Wst Sink 0 Bidet 0 Site Drain 0 Misc. p Toilet 0 Water Softner 0 Hand Sink 0 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 Scuiry 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/install laundry box in Sun Seekers (�n���-��— � of Work �*ck#7796'* �-- Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcei Id# 0103640300 Valuation $500.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided I Issued By _��/t1 Date 11/26/2013 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 N2808 MEADE ST APPLETON WI 54913 -9576 Telephone Number 920-731-0462 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. i/2i/20i3 THV i6: 38 FAx 920 73i 97a2 �001/OOi City of O�shkosh inspection Services Divisioa � P O Box 1130 4 � Oshkosh,W I 54903-l I 30 _ �_� � Phone:(9Z0)236-5050 Fax_(920)236-5084 w Plumbing Permlt Application I hereby apply for a permic to do and inatsll the following plumbing on rhe prcmisea hcreinafur deseribed,the work to conform to che Wiseonsin State Piumbing Code,in the performance of which a11 partics hereto agree to and are bound by said statuus. � Applicstion(s)and fae(s)can be brought to City Hall,Room 205 or mailed to Inepection Services,PO Box l 128,Oshkosh VVI 54903-1128. Commencing work without�it(s)will result in fooa being doubled or S100.00 plus the norn►al permit fee,which ever is grea.cer, . OR �,vou re a contraclar narlieLvallllp in he Petr»it Fee Accounl System and (tAJ��A�p�l�_/'�S,��C,1r�iL�r� if'voa wan� [hls nroces8ed �hrouQh vour gccount I-1 **Advisory-For applicabte projects�an Electrlcal InstallaHon VGriHcation(EI�fo:m, sigaed by the Electrical Contractor or Homeowner(for inst�lladons allowed to be performed by t1�e homeowner)must be subm�ued vvith the permit applicaHon. Applications en6mitted withont an EIV when such is reqnired, wilI not be processed for Permit Ieauance and wili be retamed for completlon. Job Address � V�I�.ONS►N ��. Value pr�mano�ebo�.�a���.�6) Sd0 � Dale ���2�D"�(�J� Owner S\�.f1��2R.�C�J�� Contractor U.-Y`(� ❑Stngle Famlly �Duplex �Muld-Family ❑Rental Commerc�al ❑Induetrtal Number of Fixtures: Bethtub Sump Pump Plaeur Sink RooFprain Shower San.Sump/Pump Scullery Sink Soda Disp Whirlpppl Water SotEener Service Slek Coffa M1Q Lava�ory Standpipo Kce Sheunp 3lnlc Site Drain Toilct Clawge FD SurQeons Sink WaitrE Sta Ki�Sink Loeul Woste Stailizor la Chest Disposul Bar 3ink RPZ valve Comm ice Maka bishw�alror 9reolum Sink Bide� Inc Gresee T�ap Floor Drein Cl�aum Sink Uriru11 F�ct Greaaa Trsp Ho�Bibb L;xem Siok Beer T�p Eye Waaah stn . Water Heatu F Prep Sink Dipper Well Deduct Meror ❑�es U Elect u PwrVnt Floor 91nk Drink Fn�n Wtr 3ewu Mtr Clotha Walv � Hs1nd 9ink Wuah Fntn W��Us�Qo Mtr Lndry Troy L.aD Sink Ca�h 8aaio Misc Fiacuree r� ElectrIc Contractor(for projects not requiring an EIV Form) Use/Nature of Wurk Sizc Matcrial Type # Conn.Type Sanitary Sewer Storm Sewer Water Service � �- �Uo� ��-���'��''� �o Co�Mt_ c��- 11�210�13 �,n�he.. , 1� �k"�(�� 06/09