HomeMy WebLinkAbout0104367-Plumbing (storm pipe; basins)OSHKOSH
ON THE WATER
.lob Address 500 S OAKWOOD RD
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner MERCY MEDICAL CENTER OSH INC
Contractor PETERS MECHANICAL INC Category 430 - Industrial-Exterior (laterals)
No 104367
Create Date 09/24/2003
Plan
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 0 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 3 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature
of Work
RE-DO STORM PIPING AND RE-LOCATE CATCH BASINS
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type
12 Plastic Lateral
# Conn. Type
0
0
0
0
0
0
0
2 New
0
0
0
0
0
0
0
Valuation $9,000.00 Plan Approval $0.00 Permit Fees $68.00 ~ Permit Voided
Issued By
Date
09/24/2003
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
Agent/Owner
Address 1421 S WEBSTER AVE OMRO WI 54963 - 0000 Telephone Number
HOME 685-2694
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.
OSHKOSH
ON THE WATER
· ,lob Address 500 S OAKWOOD RD
Contractor PETERS MECHANICAL INC
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 Lndry Stndp
Res. Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater 0 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Braakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner MERCY MEDICAL CENTER OSH INC
Category 430 - Industrial-Exterior (laterals)
0 Ejector/Grind 0 Dip Well 0 F Prep Sink
0 WaterSoffner 0 Drink Ftn 0 ServSink
0 LocaIWaste 0 Wait. St. 0 Shamp Sink
0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink
0 Bidet 0 Exam Sink 0 Catch Basin
0 Beer Tap 0 SculrySink 0 Wash Ftn
0 Dent. Oper. 0 Hand Sink 0 Urinal
0 Lab Sink 0 Plaster Sink 0 Standp Rec
0 Sterilizer 0 Surgeons Sink 0 Ice Maker
No 104367
Create Date 09/24/2003
Plan
0 Gar Drain 0
0 Soda Disp 0
0 Coffee Maker 0
0 lnt Grease Trap 0
3 Ext Grease Trap 0
0 RPZ Valve 0
0 EyeWash Statn 0
0
0
Use/Nature
of Work
RE-DO STORM PiPiNG AND RE-LOCATE CATCH BASINS
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
12 Plastic Lateral
$9,000.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
2 New
0
0
0
0
0
0
0
$68.00 [] Permit Voided
Date 09/24/2003
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
Signatur~ _~'~.t ~--easement holder(s) and to secure any necessary approvals before starting such activity. Date =(' [ ~-,.~U~/~ ~
~ ' Agent/Owner
Address 1421 S WEBSTER AVE OMRQ WI 54963 - 0000 Telephone Number HOME 685-2694
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.