HomeMy WebLinkAbout0124548-Plumbing
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OSHKOSH
ON THE WATER
Job Address 2359 ASHLAND ST
CITY OF OSHKOSH
No
124548
PLUMBING PERMIT - APPLICATION AND RECORD
Contractor D.R. HANSEN PLBG.
Shower
Owner JUSTIN J FARLEY Create Date 03/16/2007
Category 410 - Residential-Interior 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
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature FRI 2nd floor addition* to include a full bathroom and 2 bedrooms. The 1st floor bathroom will be moved, rewiring the 1st floor gutting and
of Work insulating the entire 1 st floor, new doors, windows. **debt acct
Valuation
Issued By
Floor Drain
2 Lndry Tray
2 Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Size
Material
#
Conn. Type
Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1517430000
$4,000.0~ (Ian Approval
~W
$0.00
$49.00 0 Permit Voided I
Permit Fees
Date 05/02/2007
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
OSHKOSH
WI 54902 - 3448 Telephone Number 233-1595
Address 55 KNAPP ST
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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City of Oshkosh
ltlspection Services Division
POBox 1130
Oshkosh, WI 54903.1130
Phone: (920) 236-5050
Fax: (920) 236-5084
DR HANSEN PLUMBING
PAGE 01
"31Q -/197
~ \)dVt'
OfHKOfH
oN TI-l~ WAHR
Plumbing Permit Application
1 hereby apply for a pemrit to do and install the following plumbing on the premises hereinafter described, the work to confoun 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 Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-11:28. Commencing work without pe:rmit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
4 .tou "are a contraCL r art.ci ati in r e Per ft Fee
if you want this tJrQcessed through your account 0
check here
Job Mdre.. 23,51 As.HL A-V iN alae (~d'd'" "",, ~,,,,,."}J0<90_~U . Date 5; /2/0 1
Owner 1t='~f'l\;~ y "Contractor U _~~ ,v..S,. .6J ""
&mgle Family DDllplex OMulti-Family DRental DComm~r"cia.l. .Dlridustri~L.'"'' c"
Number of Fixtures;
~I
~:2-.
_'2-
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
~/\
~
Shower
Floor !:)rain ~
l.11dry Tray
Lab Sin!.:.
Plaster Sink
S teriJizer
Misc"
Fixtures
Electric ,Contractor
Use I Nature of Work
't" o '.;~ , , , .,1
Disposal DrInk Ftn " Catch Basin
Dishwasher Wait. Sl. Wash FllI
Sump Pump Ice Chesl Urinal
EjectorfGrind Exam Sink Gar Drain
Water Softner Sculry Sink Soda Disp
Lo<;1I1 Waste Hand Sink Coffee Maker
Clothes Wshr <<-l F Prep Sink Comm. lee Maker
Bidet Serv Sink Sil~ Drain
Beer Tap lnt Grease Trnp Roof Drain
Clasann Sink Ext Grease Trap Staildp Rec
Surgeons Sink R.l'"Z. Valve EyeWash Stn
Brealmn Sink. Shamp Sink Wtr Sewer Mtrs
Pip Well FlrfWs! Sink Deduct Meters
Hose Bibs Wtr Usage MlT's
OR
DElectric Installation Verification form attacbed
(If Replacement)
Sanitary Sewer
Size
Materia}
Type
#
Conn. Type
Storm Sewer
Water Service
n/o~