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