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Home My WebLink About0124110-Plumbing (shower) e OSHKOSH ON THE WATER Job Address 640 AMHERST AVE CITY OF OSHKOSH No 124110 PLUMBING PERMIT - APPLICATION AND RECORD Owner CHRIS STUEDEMANN reate Date ~Ian 04/05/2007 Contractor D R HANSEN PLBG Shower 1 Water Softner Wait. St. Shamp Sink Coffee Maker - - - - - - Floor Drain Local Waste Ice Chest Flr/Wst Sink Int Grease Trap - - - - - - Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap - - - - - - Disposal Bidet Sculry Sink Wash Ftn RPZ Valve .~. - - ';...." ,"' ........ - Dishwasher Beer Tap Hand Sink Urinal Eye Wash Statn - - - - - - Sump Pump Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs - - - - - - Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters - - - - - - Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs - - - - - - Ejector/Grind Drink Ftn Serv Sink Soda Disp - - - - - - SFR / Replace shower. **DEBIT ACCT**. Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcelld # 0702860000 Category 410 - Residential-Interior Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Issued By Plan Approval $0.00 Permit Fees $25.00 0 Permit Voided II Valuation Date 04/05/2007 In the performance of this work, I agree to perform all work pursuant to rules goveming 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 wor 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 55 KNAPP ST OSHKOSH WI 54902 - 3448 Telephone Number '33-1595 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), yo~r Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is rec,ived. Work may continue if the inspection is not performed within two business days from the time the project is ready! ~05!2007 08:30 19202337455 ::: r--~-- ,----,--- City of Oshkosh Inspection Services Division POBox 1130 Osbkosh, Wl 54903-1130 Phone: (920) 236-5050 Fax: (920) 236.5084 DR HANSEN PLUMBING PAGE 01 H Plumbing Permit Application I hereby apply for a pennit to do and install the following plumbing on the premises hereinafter describedr the work to confonn to the Wisconsin State :Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes. . Application( s) ";d fee(,) can be brougbt to City Hall, ROom 205 or mailed to Inspection 84ce" PO Box 1128, 'Oshkosh WI 54903-1128. Conunenctng work WIthout peWl,1t(s) WIll result In fees bemg doubled or $100.00 plus the normal permit fee, which ever is greater, OR V you are a contractor partieipat 'n in th Pe mi't Fe tt. ~ou want this processed thrQuflh }lQur acc:ount 0 ..1" ~ ~ I'tELsr . Job Address 6 '-(0 ~. Val~e(I.tlCludinglab()randmaterialS) / "e. ~'."L Owner C" I .s S ,.... u e [)E. ~1\_tfontractor DJl, IJ At\J~. ~,) ~ingle Family DDuplex. OMulti-FaroilY ~ental DCommerci lDllidustri~i. : Ref J-. -/>.. C c.. unds check here Date O/s;lQ' Wat~ Hei1t~ o GM [) Elect 0 pWt"Vnt I Shower Oisposal Dishwasher Sump Pump Bjector/Qrind Water Solmer Local WlIste ClotheS Wshr Bidet Beer Tap Classon Sink Surgeon~ Sink :BTeilkrm Sink Dip Well Hose Bibs Drink Pm Wait-St Ice Chest Exam Sink Sculry Sink Hand Sink F Prep Sink Serv Sink 1m (iTease Trap Exl Grease: Trap R.P.Z. Valve Shamp Sink FlrlWsl Sink : " ", ~ . .. . . ~. I, Catch Basin . Wash Fm Urinal Gar Drain Soda Disp Cotiet: Maker Camrn. Ice Maker Site Drain Roof Dr-ain Sl;In<lp Rec Sye Wash Stn Wtr Sewer MIIS l)educt Meters Wtr Usage Mm Number of FixtUres: Bathlub Whirlpool Lavatory Toilet Res. Sink Bar Sink Floor ~il'l LJdry Tray lab Sink Plilste:i Sink Sterilizer Misc. FixtUrl:s Electric Contractor OR DElectric Installation Verification form attachec (If Replacemc:nl) Use / Nature of Work Size Material Type # Conn. Type \0 ~~' \ Sanitary Sewer I Storm Sewer Warer Service 1l/0~