HomeMy WebLinkAbout0105242-Plumbing (interior)OSHKOSH
ON THE WATER
.lob Address 10 W 16TH AVE
Contractor SOPER PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner SOPERPLUMBINGINC
Category 440- Industrial-Interior
Bathtub 0 Shower 1 Ejector/Grind 0 DipWell 0 F Prep Sink
Whirlpool 0 Floor Drain 1 Water Softner 0 Drink Ftn 1 Serv Sink
Lavatory 1 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink
Toilet 1 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn
Water Heater 1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker
No 105242
Create Date 11/10/2003
Plan
0 Gar Drain
0 Soda Disp
0 Coffee Maker
0 Int Grease Trap
0 Ext Grease Trap
0 RPZ Valve
0 EyeWash Statn
0
0
1
0
0
0
0
0
0
Use/Nature Contractor shop/Plumbing in association with installing a 60x78 Contractor Shop/Warehouse.
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 $2,500.00 Plan Approval $0.00 Permit Fees $42.00 ~ Permit Voided
Issued By
Date
11/10/2003
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 2225 BURNWOOD DR Oshkosh WI 54902 - 0000 Telephone Number
426-2151
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
POBox 1130
Oshkosh, WI 54903-t 130
Phone: (920) 236-5050
Fax: (920) 236-5084
Of HKOJ"H
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the prerrdses 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.
· Application(s) and fee(s) can be brought to City Halt, Room 205 or mailed to Inspection Services, po Box 1 t 28,
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 participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account N
Job Add~~.:~~.~ ~"q' A/~--. Value (Including labor and materials)~
Owner ~'~fe'~a ~OZ~,,.~,~,,,n/¢ Contractor
~]Single Family [--]Duplex [--]Multi-Family [--]Rental [~Commercial
Date //-/~ - o...~
[--]Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper.
Whirlpool Disposal Dip Well
Lavatory ~ Dishwasher Drink Ftn
Toilet / Sump Pump Wait. St.
Res. Sink Ejector/Grind Ice Chest
Bar Sink Water Sofmer Exam Sink
Water Heater / Lo~al Waste Sculry Sink
~Gas [3 Elect [] PwrVnt Clothes Wshr Hand Sink
Shower / Bidet F Prep Sink
Floor Drain / Beer Tap Serv Sink
Lndry Tray Classrm Sink Int Grease Trap
Lab Sink Surgeons Sink Ext Grease Trap
Plaster Sink Breakrm Sink
Sterilizer
Shamp Sink
Flr/Wst Sink ·
Catch Basin
Wash Fm
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Rec
Electric Contractor
Use / Nature of Work
Sanitary Sewer
Storm Sewer
Water Service
OR
[-]Electric Installation Verification form attached
(If Replacement)
Size
Material
Type
# Conn. Type
3/02