HomeMy WebLinkAbout0127058-Plumbing
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OSHKOSH
ON THE WATER
Job Address 1325 W FERNAU AVE
Contractor D.R. HANSEN PLBG.
CITY OF OSHKOSH
No
127058
PLUMBING PERMIT - APPLICATION AND RECORD
Owner ROLL EXPERT LLC
Create Date 10/01/2007
Plan ZZ2-273-1007-P
Category 440 - Industrial-Interior
Bathtub Shower Water Softner Wait. St. Shamp Sink Coffee Maker
Whirlpool Floor Drain 11 Local Waste Ice Chest FlrlWst Sink Int Grease Trap
Lavatory 7 Lndry Tray Clothes Wshr Exam Sink Catch Basin 2 Ext Grease Trap
- -
Toilet 7 Disposal Bidet Sculry Sink Wash Ftn 1 RPZ Valve
-
Res. Sink Dishwasher Beer Tap Hand Sink Urinal 3 Eye Wash Statn 2
Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Water Heater 2 Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters
Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Roof Drain Ejector/Grind Drink Ftn 2 Serv Sink 3 Soda Disp
Misc. 9 HOSE BIBB
Fixtures
Use/Nature
of Work
Install interior plumbing drain and vent and water distribution system. --(Debit Account)
-. -
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1225800900
Valuation
$50,000.00 Plan Approval
$0.00
Permit Fees
$350.00 D Permit Voided I
Issued By
Date 10/0212007
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Address 55 KNAPP ST
Agent/Owner
OSHKOSH
WI 54902 - 3448 Telephone Number 233-1595
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
~
09/28/2007 12:45 19202337455
A 1^ ?'O' 12;22P~
c'-, Ii}:; _.?:^^~:j I
lrtspec.tIM. Services Divisioll
POBox] 130
Oshkosb, \'y1 S4903-11~O
Phone: (920) 236-~';o5()
Fax: (920) '236.S()il4
DR HANSEN PLUMBING
lns~(~tlon SerV\~ES
p~
/g
1-;)10 ::J
PAGE
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1 r.ereby ;lpply fOf" 11 per-mit tG do and ins!all the following plumbing on the promisell hereinattcr described, the work. [0 conform. to the
Wisconsin SUlte Phlmbing Code, 1:1 the perfonn.m;l; Qf which all parties hereto ill:fCC to IIrld are bo\t~ by Mid statutos..
_ Plumbing Permit Application
. Appli"ation(s} ilnd hie(!i) Ci$I1 be brought to City Hldl, Room 205 or rnallel1 to Impcction Scmces, PO Sox I \2&, Oshkosh WI
54903-1128. Comm<.:n~in! wOlk without permit(s) will r~llll i:l fees being doubled or $H10.OO plus the normal permit fee. wllich
tYet ill grq~r.
OR.
~;~: ::iJ1J,u {~~;';:::;;s~~~:~~C::;f:R~~ ~:;:r~'e AGcolmr S".r/ilM ud 110\18 adtIJ1H;r'11l1lr!~. sJJtt:~ &lnr
** Advisory. For a.pplicable projects, an Eleetrical Irlstallation Verification (EIV).form, s.tgned by the Electrical
ConlTactoF or Homeowner (for installatioN allowed to be pcdormcd 111 the hOll1eowner) 1D11St be so"bmltted
witb the ~nnit ilpplieatiOll. Ap,pllCldollS nbntirred withou.t 1m BlV when S'IId2 is ~d, w ill not be
processed fell: Permit Issom(,..,d wl11 bc'l'cNmed fOt C01Dpletion.
Job Addr... I '32 .s; & I!.. t-l i/ Value Clod.... ...." .......~ 000 Dotc3 h vi 0 .,
Owner il E.W. Contractor ~~kJ!..&;""-- .
OSinlle }'QlIlily Onuplcx DM1l1d-Family o RCJltaJ OCoftUberc:ial ~trml
Nnmber of Fixtuns:
6.tlllul>
Wl\:r!lIOo1
U1VllI(\/}'
TOIIC'[
-2-
~
Itc,. SinK
-1.-
WllIOf~11!I' ~
: : ~, .J Elect :.:J F'.YrVn!
Sb:l~r
Bar Sink
Floor ~lD
JL
LIIdlyTII)'
LabSiDk
P1Ultt Sil1k
Sleribrer
Mi5C .
Hxna:-.lS
Olspolll;
D:alt'IIAsMI
Sump Pump
EpOOOrind
WD'Cf Sl>t\1I<<
Lo..'f\J Wast:
CiQt/i<a Wshr
8i<l~
8urTap
C:lI3S.'Tn Sink
Sur~lClo1 Sink
~tmm1 Slot
Oi.,WcIl
HI))lC Dil:r.I
Urink ~"
Wait!)!.
icd:besl
exam Sink
liC\.lry Sltllt
Hallo Sm
r I'fq> $i....
5<1"'- ~nk
(nt Qrcqc T'Iap
E'<I Otellh: Tfal'
ltP.L val.1l:
StlllIlp $inl<;
flr,Wst SInk
_k
.-~
~
'Electt'ic Cc.ntractoT (tor projeets not l"eqo.iring un EIV Form)
U$e I Naturo of'Work
CII.rcll ~IIS itt
WII.lllIFlll
Unn.1
Q,r Dniill
S::lw. Di~
c..rr.... MUlIr
Cwr.m, lee M~er
Sil~ Dram
Ru:.rDnill
SlIIIldp Rcc
F.)oc WIlD ~In
Wrr S~ MIt1
l".J(ldLlet Mt:lJn
WIT U:1lll= M....
,.~
~L-
-3--
2-
San itaLY SewC!'
Storm ~wer
1 Warer Service
t
'----~~
Siz~
Male! .iQJ
Type
it
Conn_Type
01/(,7