HomeMy WebLinkAbout0126256-Plumbing
e CITY OF OSHKOSH
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1224 WISCONSIN ST
No
126256
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
EjectorlGrind
Owner GB INVESTMENT PROPERTIES LLC Create Date 08/0312007
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
iSFR/ Adding a bathroom on the 1st floor of the house per the plan submitted. No walls'are being moved but walls will be added:-An exhaust
roo i, ",,"i,ed. -debt "ct
L,
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1203090000
$0.00 Permit Fees _--.-!25.00 0 Permit Voided I
Valuation $2,500.00 Plan Approval
Issued By 0ffi~
V
Date 08/14/2007
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 ~eqllest 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 atthe 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
08/14/2007 11:29 .. 1~?~f337466 ,
A r: r' ") "I' : 2: 22 h'l! 1/1 ~ h: n I:;' il S H v I ; ES
Ci.}.:>: _~:.._=:!l I
lnspec.t!on Servic~s Oivisicn
POBox !130
OshkMh. WI,54903-113Q
Phone: (920) 136-505:>
Fax: (920) 236-50$4
DR HANSEN PLUMBING
il
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01
II
. Plumbing Permit Application
I hereby apply fot ~ permit re do and ins:all tbe following plu.mbing on th: premises *nllft.er de$cril:Jed. the work [0 conform to the
Wis.:::msin SUlk Plumbing Cod~. in t,,-e perrormancc of which all parties bem.o ~ to and llT!!! bound by sai.i stilUte~
1
· AppUeation(lJ} and fes(~) L"lUl be brou&htto City ffllll, Room 205 Or mailed to rns~tion SerllalSr PO Bo)( 112&. O1Ihko5h WI
S490j~112~. Cornmt:ndng work without ~it($) willl'e:iull b fees bei.ng dou!)ie4 or .s 100.00 plus the normal permlr fee, which
tver h KTea~t. i
OR ,
/l~r;u llr~ a t:onfraCla,. 1)(Jl'tiClfJ..atwr i~ rh~ P~(l1lJ[{e~ 4 "Ol.lnt SJ!.rtf.,"land hllUQdJl'1rAQte ('tina.... .{..fUel: here
If'!,}" wan' (!ria /)ro~egl2d ttJl.ou:h ;;;"" &:CCt>II~' ~
. ~"
~. AdvisQty . For ft:ppJicablt projeC'tl, an Electrical Installation Verificati n (E1V).fonu, sJgned by the 'Electrical
CO~lIract.or or E'mneowner (for installations a.Uowed to ~ pt.r:formcd 'by e homeoWner):must be su'bm.itted ,,'
with the ~cnnlt application. Apt'Jkatlo!lll submirrtd without a.t lilV wh 81JdJ is required, win not be
proceSj)ed fur Pennie lsBum~e and will be retumed fut COUJpletion. I:
Job Address I ~ "l.. #of "-..J I S Value (fllel"dill!llabo(a:td lIlSw.ial,
~er ~ J L c;. C 'T'"c,. H E: ~ Contractor
~~ngJc }'lImBy ODlIplcx OM. hi-rand'>,
Date g /,'") I(J 1
- -.. ,
OlDdustrial
Number of Fixtures:
BJllllub X DISpO:!llll Orink ~In
'iVhirlpool ~ D~lI11~Gh;r Wail. Iii.
U1Vl1ll'll')' Sum" PIIr:l1? iQ:(ho$l
Toill;i Eje<<orlO,ihd Cl(IM Sink
R.~$ SlnlC WIT<<J !;olttler Se~11)' $iDk
Bar Sinl< 1.0<:lll Wan: HUla Sou.
W'lGr H~ll'I" CiOlr.C! W,nr 'f' t'P"tlp Sink
= : G~ .J rtltCl :;; PWI-lfn! 8id~ 5<1,,' ::iillk
Show.:r Beer TIp 1111 (;rc:&I)8 Tmp
floor Dnlm C:41l1.'1U Sink E.'l;1 Gicue T~p
WIdsy TillY SUt,teoQ$ S1llt R.P.Z. v'/VII:
lnb Sin!.: S,eUml S/llt. Sllsmp Sink
P1mer Slbk Di;JWIllI flt,War SllllC
SlenlL:lIlr H~ B~~
Misc.
[:i,mt~
Cw.ch aa~in
Wuh Fln
tJril'llll
c.r DndD
S~dlI Di~
c...iT... Makl:r
COR'.lIl.lee M:lker
Sil~ Draill
RuufDrAin
SWldp Rec
F.;yc WlEh Sin
'Nil S"W~ MII1
('.>educt MttM'll
W(r ~. MIn
'Eleetr-ic COl1tractOT{for projec.s not roquiring an EIV Form) ~
U$e l.Naturc of Work
( J
Si!:e
Mllledal
Type
##
Conl\. Type
j
I S(lJ1ttary Sewer
I
I
St,r)nTl Sewer
I
; W~~r Service
I
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