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HomeMy WebLinkAbout0104453 POSHKOSH ON THE WATER .lob Address 716 OREGON ST CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Contractor TOWER MECHANICAL SERVICES INC Owner CITY OF OSHKOSH Category 440- Industrial-Interior No 104453 Create Date 09/29/2003 Plan Bathtub 1 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 4 Lndry Tray 1 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0 Toilet 3 Lndry Stndp 0 CIothesWshr 1 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0 Res. Sink 1 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 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 2 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 COMM of Work Size Material Type # Conn. Type Sanitary Sewer 0 0 0 0 0 Storm Sewer 0 0 0 0 0 Water Service 0 0 0 0 0 Valuation $4,300.00 Plan Approval $0.00 Permit Fees $78.00 ~ Permit Voided Issued By Date 09/29/2003 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 PO BOX 2552, 2125 W 20TH AVE Oshkosh WI 54903 - 2552 Telephone Number 426-3005 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 Job Address 716 OREGON ST Owner CITY OF OSHKOSH Contractor TOWER MECHANICAL SERVICES INC Category 440- Industrial-Interior CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Bathtub 1 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink Whirlpool 0 Floor Drain 0 Water Soffner 0 Drink Ftn 0 Serv Sink Lavatory 4 Lndry Tray I Local Waste 0 Wait. St. 0 Shamp Sink __ Toilet 3 Lndry Stndp 0 Clothes Wshr 1 Ice Chest 0 Fir/Wet Sink __ Res. Sink I Disposal 0 Bidet 0 Exam Sink 0 Catch Basin Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal Site Drain 2 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker Create Date Plan No 104453 09/29/2003 0 0 0 0 0 0 0 ~COMM 0 Gar Drain 0 Soda Disp 0 Coffee Maker 0 Int GreaseTrap 0 Ext Grease Trap __ 0 RPZ Valve 0 Eye Wash Statn 0 0 Use/Nature of Work Sanitary Sewer Storm Sewer Water Service Size Material Type # Conn. Type 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Valuation ~,300.00 Plan Approval $0.00 Permit Fees $78.00 [] Permit Voided Issued By"~, Date 09/29/2003 In the performance of this work, I agree to pedorm 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 ea~ment, the City strongly urges the permit applicant to contact the easement holder(s) aj3d-to secure any nece..%~ry approvals before starting such ac[ v ty S'gnatu e ~ ~'~'~ ~ j~, Date ~ '~-"~- ' .~ ' Agent/Owner Address PO BOX2552, 2125W 20TH AVE Oshkosh WI 54903 - 2552 Telephone Number 426-3005 To schedule inspections please call the Inspection Request line at 236-5'128 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-I 130 Phone: (920) 236-5050 Fax: (920) 236-5084 O/HKO/H Plumbing Permit Application I hereby apply for a permSt 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. Hall, Room 205 or ma~led to Inspect/on Services, PO Box 1128, Application(s) and fee(s) can be brought to City x - 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 you are a contractor participatin~ fn the Permit Fee Account System and have adequate funds, check here if you want this processed through your account [~ Job Address ~16 ~[~o~ ~')'~. Value (~¢luding labor and matexfals) ~30 O Owner ~t/~ ~'t95~0~/~ Contractor '~ ~'/a~'~//,'~?/I//*d4. [~Single Family [~Duplex [~]Multi-Family [~]Rentai MCommercial Date~O.~ [-]Industrial Number of Fixtures: Bathtub [ Lndry Standp Dent. Oper. Whirlpool Disposal Dip Well Lavatory /~ D~shwasher Drink Fen Toilet ,~ Sump Pump Wait. St. Res. Sink [ Ejector/Grind Ice Chest Bar Sink Water Soflner Exam Sink Water Heater Local Waste Sculry Sink D Gas [] Elect O PwrVnt Clothes Wshr ~ Hand Sink Shower Bidet F Prep Sink Floor Drain Beer Tap Sexy Sink Lndry Tray ~ Classrm Sink Iht Grease Trap Lab Sink Surgeons Sink Ext Grease Trap Plaster Sink Breakrm Sink R.P.Z. Valve Sterilizer Electric Contractor Shamp Sink Flr/Wst Sink Catch Basin Wash Ftn Urinal Gar Drain Soda Disp Coffee Maker Ice Maker Site Drain Roof Drain Standp Rec Eye Wash Sm OR [~JElectric Installation Verification form attached (If Replacement) Use / Nature of Work Sanitary Sewer Storm Sewer Water Service Size Material Type # Conn. Type 7/o3