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2007-Plumbing (bathtub)
. O~HKOSH ON'tHE WATER Job Address 414 WASHINGTON AVE CITY OF OSHKOSH No 125971 PLUMBING PERMIT - APPLICATION AND RECORD Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Owner THOMAS J BRINKMAN Create Date 07/26/2007 Category 41 0 - 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. Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Valuation Issued By Repair bathtub accoeding to violations noted. "'Inspection shall be made to see that corrections have been completed.'" Size Material # Conn. Type Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 0400020000 $1,800.00 $0.00 $25.00 D Permit Voided I Permit Fees Plan Approval Date 07/26/2007 In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to secure any necessary approvals before starting such activity. Signature Date Agent/Owner OSHKOSH WI 54902 - 3448 Telephone Number 233-1595 Address 55 KNAPP ST To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. I" ,. :" ," . : ,;", ':l!! ,,:::': ;:';,t')~" ;~:; ~ '1:.~~~,;' r:,\ "t('~';:; ";': '~' <$,. ,<',.; : :;, "", ~', ,;, i ' ',":, " '~:;I,;;,L:" ,,', ,~~':~~~'.fi"';::',~:,;,~" ': . .. , ~':: ",':: <~t'.~,~,",~,~,',. ~~,:.:. i ,-,,' .; " J.......... ' fl,' L ~r.I~..~~~~1 .I~'N., " . , , ~ ~.<' '~r"~ >r'" I ". . ". ',' .t".' ,',"', .,\' "" .". .~"~' !~:~~ ~":"'t,:.I.' '-', " '[j . ",,' , ,.~:, .;.,,~ ;j;~~::"i~': OIHKQI (] : :(" "",t:;" .;: ' " ON :rHE. A'fER , , ;:' ~ \':;f:' ',' ;,;. I '",,' ..:~,; \::,t;,:~ ':' ' ": ::. ~ ..~~ ,.:., ': '~'," ;:: ,;':, '::'~~':..~.'.::':. '~,'.'~";':~ .~:'~. ::::"~';~ . :~f'~:' :'::~;:.'~:,~:~, f.:..':':t~ " :' ': ~. ::~: .:..~.:~ < .:~ . .' 'Plumbing Permit 'Appllcatiorr:1:~;;'-:":r~~' .'. '," : \':: d,i~~1 ,~' . , . .' . ,': ".::", .:::: ';;;i '; 0:'.:;; ~:;;,:'''~..~. i';:'.},~;\.:';~.:l~;~::'~,~ ~,:,::.~~ ; ~~. :r~ ';l.~~,~r~:~t~~~' :::-' ;::d:h~ ~. t '..,' ;, I bereby apply for a permit to do ~ instaUthe 'roil~'~g pl~bi1ig o1i the prehu$es,'h~retdaft~.~~~~bed. the"~r~ to toofoUn to the Wisconsin State Plumbing' Code~ -in the perfortnance Of which aU 'parties' heretci'agree to:'abd 'are bound by' said statutes. . . , : .,' '; . :"'~:' :: :>:'~.~;:' ~l: :~';;\;'ti;i';7.;~ft:.~~;~1:: i t::~,;;,<~ .,~;r~~: ~ .r:f:" ..~, 'i!i. . Applicntion(s} and fee(s) can be brought to city :Hall~ ROocl 205 'OI<rhiii1~dt6'Inspbctiori's.emce~~:. 0 Box 1128, Oshkosh WI 54903-1128. Conunencing work withoutpennit(s) will result in fees being doubled or'SIOO.OO plus the normal permit fee, which ever is greater.: . ~', ',' :'. ". >'~. ,,~:O:;':}. ' ': :;'~:':.tL ::..':, ," " "'.; .' ' OR '. " ',' "'N '" ~',:'. "",~,.',." ~'.:,,::: 'I'_ .~.;~t'~r~' ~ ~.~ ~..~.,;t;r~'r:.;,.~',:" .:".:..t:;:~::; \.,' J{ vou 'au' (l c(>71tractor DarticiTJatinu' i.n the Permfl f~e Account Svst.'em and:"ave':adeqiJ(jt:e:lu:"d~~,,'check here. if yOU want this 1)rQcessed thr()u~h '}lour aCFount'IX!:: ,: ; :' '." ;.:. ;,,::~ '. ,,; s..,::. .&.;':..;:k;':;-..... ",',i..,;.:::};!'t' I . . .\: . . .'".~: .....~. ..;.,.,"',-','.: "::'.:': . "::::'~(;1.::'.::~"'..::J~.,:::,1';;:" ~ ,. JObAddreSS~!~~~~~~~a1U~;~~:~*~;~l. )et??::J~te~Jdol Owner .&t-. C Wit',", ~ A""'l,.r ..~. ,'Contractor,::",.~+l:0_-{2.. Hf:\"Jl~,6.:,J. ~'l':'~:';:' , . . .... DSingle Faniily' '. DDUV1~J(, ~~I~i~Fa~iy~' '::DRe~'t~I"'~.:~~ihi:th~r.~i.i,'.:I> tJltl~ust~ia~r'::': < :. . , ~". I . "';. ...' " '~, ' . . .. ':1':\',' ;..' . ~ 07/26/2007 05:01 1," City of Oshkosh . Inspection Services Divisi01:l POBox 113Q Oshkosh. WI $4903.1130 Phone: (920) 236.5050 . Fax: (920) 236-5084 Number of Fixtures; Dathtub ~ Whirlpool tavstory Toilel Res. Sink Dar Sink W~ter Heater DOns 0 Elect 0 PwrYnl Show~r Floor !)rain l.ndry Tmy. Lab Sink. Plaster Sink Sterilizer Misc. Fixtures Electric Contractor Use! Nature of Work .' . :...:: ~::.L~~~'F,'f '. ~ : ::,:,:'~:\ ..' '. .. " ~.. '. "" . ..' .,,' . ):':i.' :' : ;: '. 'OElectriclnstaliatfori' Verification form attacbed (If Replmment) :',~i~;; ,. ..'. . i:~'. .. 1'3202337466 DR HANSEN PLUMBING PAGE 01 n' ~.. " ':1 ." .....'~ ,r, " '..:~.,,:~ . ~\;(~~I' ,.J!"~/ . '~:. ; ;'.t;':;".' :t.::.;!:".:!;; j!'iT DiSp09al Dishwuher . sump PU'!'P Bjccto,r/0nd . . Water Softner Local Waste Clothes Wshr Bidet Beer Tap Classnn Sink Surgeons Sink. . Breaknn Sink Dip Well Hose Bibs ',' Drlnlc Ftrl /' '; :.. ',1" i'~:'~h:~t~:~/ ;;~: I >(::::~.: , '. '.Bxam~in~ t::';:~;~' Sculrr Sink ,~: >: ,:t; " . :.~ ""~~~!"~'~~'~~: . ' ',.Hand ~mk '::'. .;'<~. F Prep Sink'. . , Serv Sink .ln~.~Trap Ext ~e Trap . . :. R..P.Z, Valve. .' .: ,; '. Shamp Sink, ,". Flr/W'st Sink < . ~. . :~' :'1;' " , : '. ,t:. :':"?:'P1;."~~' ;:.r:,:;'::: : i': i'.:.~: ___ '. ,i',:"~", ." . Calc:b 8.\1$11) ", '~:~:'~;~~;)>#,: ~ :':: ,,' ~~~.:~ . : .: ",' :J., .,,_.;r,OlJI!:;~"'f~'''i. ''i.. :. ...'.~. ':"~'~'4', \' , ~"':'"""':"~~ ". : Urinal l.y 'i ..':.~~tt('lr~i · . "i."f''1t.~ ,.,"'j'....' C'fli""M k" " ~6i,i.,~,.,.;:n :.' 'C:~~'I~: :akcr ". ... 'Ill," . Site Drain Roof Drain . . SllUIdp Reo '; . Bye Wash Sin \' ,\,," . ~u:.~ewer Mtn . Dediiet ~1eter$ 'Wtr Usage Mtrs ~'\ , ..' ,",,: ': , ::~ ~.",~~,~, .:' " I ," ':' ;~:::\:: I~,: '",(: '_w', OR '!" Sanitary Sewer Storm Sewer Water Service Size .. Conn, 'type .:" ' ./,f,;,(:: '\: '11)".. " . ~ '.' ", ''',,, Material Type # :",' ,',' , " ''': 'I ,,' ~'" J' ,:,,: ':' l' ',' 1',:.'" . ,) ,. ',1;:':"1':'::' ~. 'r:;:;:f~'~~:~> " ' " ,', . ,~" M .i ' \ '~:' ,":':"~ , '~ ':' ~..', , ,~....)' ,.. .. . ,j' ,~~ 11/050