HomeMy WebLinkAbout0105082-PlumbingOSHKOSH
ON THE WATER
JobAddress 1120-1180EMMERSLN
Contractor JT SCHMIDT PLUMBING INC
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner WESTOWNE NORTH PROPERTIES LLC
Category 440- Industrial-Interior
Bathtub 0 Shower 0 Ejector/Grind 0
Whirlpool 0 Floor Drain 3 Water Soffner 0
Lavatory 2 Lndry Tray 0 LocalWaste 0
Toilet 2 Lndry Stndp 0 ClothesWshr 0
Res. Sink 0 Disposal 0 Bidet 0
Bar Sink 0 Dishwasher 0 Beer Tap 0
Water Heater 1 Sump Pump 0 Dent. Oper. 0
Site Drain 3 Classrm Sink 0 Lab Sink 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0
DipWell 0 F Prep Sink
Drink Ftn 0 Serv Sink
Wait. St. 0 Shamp Sink
Ice Chest 0 FIr/Wst Sink
Exam Sink 0 Catch Basin
Sculry Sink 1 Wash Ftn
Hand Sink 1 Urinal
Plaster Sink 0 Standp Rec
Surgeons Sink 0 Ice Maker
No 105082
Create Date 10/31/2003
Plan
1 Gar Drain
1 Soda Disp
0 Coffee Maker
0 Int Grease Trap
0 Ext Grease Trap
0 RPZ Valve
0 EyeWash Statn
0
0
0
0
0
0
0
0
0
Use/Nature COMM/QUIZNOS SUB/Plbg work for Quiznos Sub in mini mall.
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 $12,000.00 Plan Approval $0.00 Permit Fees $90.00 ~ Permit Voided
Issued By
Date
10/31/2003
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 419 S WASHINGTON ST COMBINED LOC WI 54113 - 0000 Telephone Number 788-7314
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
Plumbing Permit Application
I hereby apply for a permit 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.
Job Address [["bO ~rt~W~U~q ~&¥k~ Value (Including laborand materials) ~1~O Date
Owner I~1,'14/~ ~ ~l,b¢ Contractor ~'Jc~ (~
[-]Single Family [-]Duplex ~]Multi-Family [-]Rental [~ommercial [-]Industrial
Number of Fixtures:
Bathtub [mdry Standp Dent. Oper. Sh~mp Sink
Whirlpool Disposal Dip Well FIr/Wst Sink
Lavatory '~ Dishwasher Drink Fm Catch Basin
Toilet '~ Sump Pump Wait. St. Wash Fm
Re~. Sink Ejector/Grind Icc Chest Urinal
Bar Sink Water Sofmer Exam Sink Gar Drain
Water Heater / Local Waste Sculry Sink [ Soda Disp
Shower Clothes Wshr Hand Sink / Coffee Maker
Floor Drain '~ Bidet F Prep Sink ~ Ice Maker
Lnd*y Tray Beer Tap Serv Sink ~ Site Drain
Lab Sink Classrm Sink Int Grease Trap Roof Drain
Plaster Sink Surgeons Sink Ext Grease Trap Standp Rec
Sterilizer Breakrm Sink ~'~ ~/~ X {~ ~J '~' ~
Sanitary, Sewer
Storm Sewer
Water Service
She Material Type # Conn. Type
Application(s) and fee(s) can be brought to City Hail, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI
54903-1 t28. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the nomraI permit fee,
which ever is greater.
OR
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