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HomeMy WebLinkAbout0124135-Plumbing (2 lavs) e OSHKOSH ON THE WATER Job Address 145 W 24TH AVE CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner BETHANY UN CHURCH OF CHRIST Contractor D.R. HANSEN PLBG. Category 440 - Industrial-Interior Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature COMM / Replace 2 lavatories. **DEBIT ACCT**. of Work Shower Floor Drain 2 Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Water Softner Wait. St. Shamp Sink Local Waste Ice Chest FlrlWst Sink Clothes Wshr Exam Sink Catch Basin Bidet Sculry Sink Wash Ftn d..'_' . '.p.. Beer Tap Hand Sink Urinal Lab Sink Plaster Sink Standp Rec Sterilizer Surgeons Sink Ice Maker Dip Well F Prep Sink Gar Drain Drink Ftn Serv Sink Soda Disp No 124135 Create Date 04/09/2007 Plan Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Sanitary Sewer Storm Sewer Water Service Size Material Type # Conn. Type Valuation Issued By Parcelld # 1411450000 $2,000.00 Plan Approval ~ $0.00 Permit Fees $25.00 0 Permit Voided I Date 04/09/2007 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 Agent/Owner Address 55 KNAPP ST OSHKOSH 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. ~04/0'3/2007 11:02 1'3202337466 *.----- City of Oshkosh . Inspection Services Division POBox. 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 DR HANSEN PLUMBING PAGE 01 (t) OJ~OJR ON TH W^TtR Plumbing Permit Application 1 hereby apply for a permit to do and install the following plumbing on the premises hereinafter described. the work to confOtm to the Wisconsin State Plumbing Code, in the perl"orroance of which all parties hereto agree to and are bourtd 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 W1 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 nds check here Job Address /'1 S I.-v 2 <I -r-#- V alne (~"'d~...... ""..,,,,...;2.t> (> ~-', -, - , 'Date~ Owner IS E:"T \-\ <'\ "" ( C l;v ..cf4-..contractor D..i' - /-1.(>., lJ I<,. 'if, ~ I - DSingle Family ODuv1e): OMuIa-Family DRental OComm~r.cial.: 'Dllidustri~l Number of Fixtures: ',' ,'. . '.,: . ~"~' . ". ~ .. \ . .~ l3a thl\lb Whirlpool LAvatory loilel 2- Disposal Dishwasher Sump Pump Ejector/Grind Water Softner Local Wl&te Clothes W~hr Bidc:t aeer Tap Classrrn Sink Surgeons Sink Brc:alom Sink Dip Well HC)se Bibs Drink Ftn Wait. Sl. lee Ctlesl E:xam Sink Sculry Sink Hand Sink F Prep Sink Serv Sink Int Grease Trap S.XI Grease TllIp R.P,Z, Valve Shamp Sink Flr/Wst Sink Catch Basin . WBSh Frn Urinal Gar Drain Soda Disp Coffee Maker Cornrtl. Ice Maker Site Drnin Roof Drs;n Standp Reo Eye W;l.sh Stn Wtr Sewer MtrS Deduct Meters Res. Sink Bar Sink Wate:r Healer o Gas 0 Elect 0 J>wrVnt Shower floor Drain Lndry Tray Lab Sink Plaster Sinl<: Sterilizer Misc. Fi X lures Wtr Usage Mtrs ~. Electric Contractor OR OElectric Installation Verification form attached (If Replacement) Size Material Type # Conn. Type .\\0.\01 ~ ~ u; I '!J ,r..fJ \ \}f' Use / Nature of Work Sanitary Sewer Storm Sewer Water Service ll/O!