HomeMy WebLinkAbout0126881-Plumbing (kitchen sink)
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OSFlKOSH
ON THE WATER
Job Address 1079 W 10TH AVE
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
CITY OF OSHKOSH
No
126881
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner DANIEL P/DEBORAH A GIBSON Create Date 09/20/2007
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
Install new bathtub.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1305560000
$1,500.00
Plan Approval
$0.00
$25.00 D Permit Voided I
Permit Fees
Date 09/20/2007
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
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 perforrned within two business days from the time the project is ready.
~
09/20/2007 05:30 19202337455
'~i~U.g: 1 t.Ji 0 7 :2;22F~ IflHtd I'~:l 5H\'I~U
,f> lrlSpecr[on Services Divisiol1
P08<lx 1130
Oshkosh., WI j4~(}3-1130
Ph.one: (920) 2J6-50S0
Fu: (920)236-S084
DR HANSEN::~~U~1BING
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. Plumbing Permit Application
I hreby OIpply lor a PCnTlit \C do lllId ms!a11 the following plumbing on th! premises hcrtinllftwr desc:rihcd..The wort<, mconform to th~.
Wisz;oosin SUite Plumbing. Codl';. i:1 the perf'ormance of which all panles bcrcto ~ to llnd llT1! bOl}M by !laiJsratUtes..
. Ap"neatioJl(s) and fce(s) can be brollght to City Hll.Il, Room 205 Or mailed to Inspection Services., ?O f3l)'X' 12&. Oshkosh Wl
54903.1 [28. Commt:n~i:'lg work without pem:it(sj will resull b fees being doubled or S I 00,00 phIs the normal permh: fee. which
ever i~ jl'earer.
OR
~~~~ ;;'~;;j:;;:::;::r~~i~-:-::~~~ C::c!:~Acc"'mr S'r3tem and "au Q.tlW'-Q~ !nd.r. .d,cc Ir~rtf
.... Advisory - For applicalllt projects, an ELectric:al Iost4llatlon VeriflOlrldn (EIV).fonD, signed byt'he 'Elertrical
CO~b'actor or HomeowQCl' (for installatioN allowed to be performed "rthe homco'\lmct) must be S1l\lmjtt~d
witb the pumit application. Aplllicadons submirred without an BlV when sudl is required, will not be
processed for Pennie Issuance: and wl11 be YeNmed for mmpletlon.
Job Addna/01q> tv (0
Q.~er ~ (]-\ ~ So () '4J
~e }'QUlily ODnplex
Contractor
. DMuldMFalllily
Date 'f 1't4 A,
Number of E~res:
e.thlut) D1SllOsa~ Orink ~lft ~It~.;n
WlI:rll>>ol D:a~w.un~ \Iloait. Sa. W..,h FI..
U1Vl1I0!}' Stilll'll Pump i<< Clocst Urin.l
1"\)llct 1tjec1i>fIG:ind Eum Sink c.r OnIill
Res. S in~ Wa'r.r Soflller SGlllry Sink S~w. Di~1)
Bar Sink Local Wan;. HllI<l Sin.\: CuiTl:I<I Mil:lII'
WlItor He.\Itd' CiolltCl W~r f Prop Sink CUII'.JIl. ke Miiker
:: GiU .J flea .~! BidCl ~"..."lI'IIk Sile Dr:\ift
Sh:nw:r I;kcr TIC' l"l(jr~ Tqop RourDtain
floor Dt1\:h C'A3!.:m Sill" a~ Ci~ T"'f' Sl11ll1p Ibc
Wldly r flY Sutle4lf1! 5>ink I'lP .1, VallPC' ~"WJlllIlS.\lII
Lab Sink 9!eabm Sbk SilII1lP Sill( Wv $CWtIr MIn
Pl~'ltr SlDk D:~ WeU FlrtWst Sink ("..oe(Juet M tl<<s
Sleril12er l-l;)soD~ WIT t,~'8::: Mini
Miac.
~i.'ChI:1!t
-'
"&I,"r;. Co.tractor (for pr~ .0' requirina .. EIV Form)
Use/.NaturcofWork~ t L... ~L..~ TJ ~
j Size MlIlerial Type #
I
I Sanltllry Silwer
I
; Sr.onn Sewer
! Water Ser;lce
I
L---.....o,___
Conn. Type
I
-.J
01:(;7