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Home My WebLink About0126057-Plumbing G OSHKOSH ON THE WATER Job Address 1413 JACKSON ST CITY OF OSHKOSH No 126057 PLUMBING PERMIT - APPLICATION AND RECORD Owner GORDON J OLSON ETAL Create Date 08/02/2007 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 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 1 1 1 Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind SFR / Bathroom remodel. "DEBIT ACCT". Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcelld # 1208610000 $3,000.00 Plan Approval ~ $0.00 $25.00 0 Permit Voided I Permit Fees Date 08/02/2007 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 (Le. 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. ! 08/02/2007 09:12 City I) r Osbkosh , Inspection Services Division POBox 1130 OshJ:csh, WI 54903-1130 Phnne: (920) 236.$050 Fax: (nO) 236-5084 19202337455 DR HANSEN PLUMBING PAGE 01 ',_I,.. .~ QfHROjH ON r>le WATER ~.." '.', '~": Plumbing Permit Application I hereby apply for 8 permit to do and install the follo\ving plumbing on the premises hereinafter described, the work to conform to the Wisconsin State Plumbi.ng Code, m the performance of which aU 'parties hereto agreo to.and are bound by said'statutes. . Application(s) and feces) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh \VI 54903- t 128. Commencing work without pennit(s) will result in fees being doubled or $100,00 plus tl1e ncnr,al permit fee, which ever is greater. OR li,}'.l:.!..!.!L~~Q!1!IJlctor lJarticlvalinR' in the Permit Fee Account SVsJem (lnd:b:ave: adequat,e .funds, chec!_here ~/:J ward Ibis orOf.g,s.~ed through VOIJr aCCOUTlt ~" . , . '-- .~_.-' . \ . Job Add res< _ ( / '{I ~c: o<..l;"" -;.-: 'V .In e <md,'m, ,.... 'is'''''''' 0" ner OL.$.o v,. Contractor -(2, ~glC Family DDuplex DMu~ti~FamilY [JRenb) -G]IridustriSJ Number of Fixtures: r':J:h:w~ w:.j'!po.)1 b(._ ~ ~- 1..1'"jilnry -:'c.kl j.:c'\, S'n'..; 11,- :;h!: W:.\';T He~ll:r L: \Jas 0 Elec\ 0 PwrVn\ S "",'.ver Fh'('r rr~jll I.n Jry Tiay. j,;l) Sil\K PlLs:er Sil'\k >~l':r:\;~P \l'S':, :li \I'Jr~s F.kctric Contractor l!s(' / Nature of Work $.:nj Ca l:,' S(~Wcr S [(' rill Sewer W:,1;::r Service , ~[ f:l ;' j:' :. ;, :. : \ ~ ~..: . :' ~,' ~ DispDsa\ oishWllShc:r Sump Pump Ejector/Grind Wa ler Sof':nc:r Local Waste Clothes Wshr Bidet Beer Tap Classnn Sink Surgeons Sink Brc.akrm S;nl< Dip Well Hose Bibs DrinkFtn Wait. SL Ice Chest Exam Sink Sculry Sink Hand Sink F Pre!, Sink Serv Sink lot Grease Trap Bxl Orease Tl'IIp IU.Z. Vlllve Shamp Sink Flr/Wst Sin\< , Catch Basin . Wash Fm j,Jrinal . Gar Drain Soda Disp Coffee Mak~r Comm. lee Mak~r ~..... " ,~ ..' ,. .~ -'~ , Site Drain Roof Drain S\Mdp Rec Eye Wash Stn WIT Sewer Mt1S Deduct Meters Wtr US9gc Mtrs OR DElectric Installation Verification form attached (If Replacement) Size Material # Conn. Type ~/l ~ \ ~ te Type 11/05