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HomeMy WebLinkAbout0123725-Plumbing (fixtures) '.- OSHKOSH ON THE WATER Job Address 954958 W 6TH AVE CITY OF OSHKOSH No 123725 PLUMBING PERMIT - APPLICATION AND RECORD Shower Floor Drain Lndry Tray Disposal DishwaSher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Owner DENNIS E SCHWAB Create Date 03/07/2007 Category 440 - Industrial-Interior Plan Water Softner Wait. St. Shamp Sink Coffee Maker Local Waste Ice Chest Flr/Wst Sink Int Grease Trap Clothes Wshr Exam Sink Catch Basin Ext Grease Trap Bidet Sculry Sink Wash Ftn RPZ Valve Beer Tap Hand Sink Urinal Eye Wash Statn Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs Sterilizer Surgeons Sink Ice Maker Deduct Meters Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs Drink Ftn Serv Sink Soda Disp Contractor D.R. HANSEN PLBG. Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature COMM (#958) - replace fixtures. ""DEBIT ACCT*". of Work Valuation Issued By Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcelld # 0604370000 $1,800.00 Plan Approval ()~ $0.00 Permit Fees $25.00 D Permit Voided I Date 03/07/2007 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 AgenUOwner OSHKOSH Address 55 KNAPP ST WI 54902 - 3448 Telephone Number 233-1595 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. ~" 03/07/2007 08:10 19202337455 DR HANSEN PLUMBING PAGE 01 City of Oshkosh Inspection Services Divisjon POBox 1130 Oshkosh, Wl 54903,1130 Phone: (920) 236-5050 Fax: (920) 236-5084 ~ uJRKOJrJ ON THF. WATER Plumbing 'Permit Application I hereby apply for a pennit to do and install the following plwnbing 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 bowid by said statutes. . Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, 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 js greater. OR If YOU 'are a~f!mtractor partir;i1)ating in rhe pt:rmi't Fee Account Svsl!:,m and,have adequar.~ (tPlds. check here if Y9U want this processed throufJh vour p.ccouni 6a' ., ....... ' q:s<-f - q .s-!?' "-I G,.,... t+ Value ("""d';""""'~""") . / ec>~<.' Date3.h /0] Cont....actor 0.--(2. H~~>,t:;~~ ' DMulti~Family DRental ce5comm~r..ciill." []IlidustriaL" Job Address Owner DSingle Family DDuplex Number of Fixtures: 6atl>tub Whirlpool Lavatory Toilet R~s. Sink Bat Sink Water Heater [) Gas 0 Elct;ID PwrVn\ , Shower Floor !)rain L/ldry Tray Lab Sink Plaster Sin\( stcrilizc:r Misc. fil(lures Electric Cont..-actor Use I Nature of Work "'- f~ ;; '.', " . '.. ~', ,u ': . . , ~. . . ~. \ ., Disposal Dishwasller Sump Pump Eje.ctor/Grtnd Water Softner L<>ca I Waste Clothes Wshr Bidet Beer T~p Clas!irm Sink Surgeons Sink Brea.krm Sink Dip Well Hosc Bibs Drink:Fm Wait. Sc- lee Cocst Exam Sink Sculry Sink Hand Sink F Prep Sink Se\"\' Sil1k Int Grease Trap Ext Grease Trap R.P.Z. Valve Shamp Sink Flr/Wst Sink , Catch Basin ,WllShFm lJrinal Gar Dr:lin SQda Oisl1 Coffee Iv.! 1lker Camm, Ice M ekeI' Site Orein ~ ~ ~ Roof Drain Standp Rot; Eye Wash Sin Wr.r Sewer M rrs !)edUCt tv! eters Wtt Usage M trS OR DElectric Installation Verification form attached (If Repla~ment) S~ze Material jj-6 '1 ,1; J/\~ Sanitary Sewer Storm Sewer Water Service Type # Conn. Type 11/05