HomeMy WebLinkAbout0124311-Plumbing
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OSHKOSH
ON THE WATER
Job Address 155 NEAGLE ST
CITY OF OSHKOSH
No
124311
PLUMBING PERMIT - APPLICATION AND RECORD
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Shower
Floor Drain
Lndry Tray
Disp~sal ..
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner SIMEANNA APTS INC Create Date 03/16/2007
Category 410 - Residential-I nterior Plan
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest FlrlWst 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.
fA.partment 159 - Repair Fire Damage - install new kitchen sink and install backflow preventer on hand-held shower.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water SerVice
Parcelld #
0611430000
$25.00 0 Permit Voided I
$500.00
Plan Approval
$0.00
Permit Fees
Valuation
Issued By
Date 04/19/2007
In the perfonnance 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 pennit 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.
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04/19/2007 07:16
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DR HANSEN PLUMBING
PAGE 01
CitY of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
phone: (920) 236-5050
Fax: (920) 236-5084
~
QfHKOfH
ON THE WATER
Plumbing Permit Application
I hereby apply for a permit to do and jnstall the follov.ring plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the perfonnancc of which all parties hereto agree to and arc bound by said statutes.
. Application(s) and fee(s) can be brought to City HaU, 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 $100.00 plus the::
normal permit fee, which ever is greater.
OR
Number of Fixtures:
k here,
.y alue (Including lab
. Date~
Owner
Dln~ustriai '
Bathtub
Whirlpool
Layatory
Toilet
Res. Sink
Bar Sink
Water H:eater
o Gas 0 Elect 0 PwrVnl
S howe:r
-L
Disposal
Disl1washer
Sump Pump
:Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classtm Sin,1<;
Surgeons Sink
Brealcrm Sink
Dip Well
Hose Bibs
lnt . ClI$C Trap
Ex! Grea.se Trap
R.P.Z. Valve
Shamp Sink
FlrlWsl Sink
:..; r;:: ,- .. ~.l ~ ,. " " ,.
: . . ~. ~ .~ .
. CBtch Basin
Wash J:1tn
Vrinal
Gar !)rain
Soda Disl'
Coffee M:t\(er
Comrn. Ice Maker
Site Dr-a.(n
Roof Drain
Scandp Rec
Eye Wastl Stn
Wrr Sewer Mtrs
Deduct Meters
Wtt US:l.ge Mtts
floor Drain
Lndry Tray
Uib Sink
PIBster Sink
Stmllzer
Misc.
fiXtures
Electric Contractor
OR
OEJectriclnstallatioD Verification form attacbed
(If Replacement)
Use! Nature of Work
Size
Material
Type
#
Conn. Type
Sanitary Sewer
~ \ l
\j-~
Storm Sewer
Water Service
11/05