HomeMy WebLinkAbout0126700-Plumbing (fixtures)
G
OSHKOSH
ON THE WATER
Job Address 600604 W 9TH AVE
REVJ3E D
CITY OF OSHKOSH
No
126700
PLUMBING PERMIT - APPLICATION AND RECORD
Owner GARY D BASLER REV TRUST
Create Date 09/11/2007
Category 440 - Industrial-Interior Plan
--~-.~._------
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
Shower Water Softner Wait. St. Shamp Sink Coffee Maker
Floor Drain Local Waste Ice Chest FlrlWst Sink Int Grease Trap
Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Disposal Bidet Sculry Sink Wash Ftn RPZ Valve
Dishwasher Beer Tap Hand Sink Urinal Eye Wash Statn
Sump Pump Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters
Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Ejector/Grind Drink Ftn Serv Sink Soda Disp
rhlO S' S','loo I Repl"efi~",e,..-DEBIT ACCT"- . . -- . -
I
I
i
i
L
I
i
_.~__..--l
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0601080000
$25.00
-_._"-~--_.--
Permit Voided
Valuation.mm__J2Qg.00 Plan Approval ____.______ ~9.QQ Permit Fees
Issued By
Date 09/11/2007
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.
G
OSHKOSH
ON THE WATER
Job Address 805-815 OHIO ST
~,.'1
CITY OF OSH~OSH ~TrNO
Co"n Vl~
PLUMBING PERMIT - APPLICATION AND RECORD SfP122fJO~~
OA~ /J
Owner GARY D BASLER REV TRUST Createtrate
. .
126700
09/11/2007
Contractor D.R. HANSEN PLBG.
Category 440-=-!ndus.trial-lnteriC!!:. 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
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
----_..._--_.._._-.-,._.-..._----~-_.~--_.._._--------.------.--'. --"-- ----~.__._... ---'-'~-" ...------ ~
FhiO St Station / Replace fixtures.
I
**DEBIT ACCT**.
._____.__~~_~.._._.J
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0601070000
$500.00 Plan Approval
_nn_~
__..__~Q:9Q
$25.00 0 Permit Voided i
_.___ ____._________ ___:.J
Permit Fees
Date 09/11/2007
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
AgenUOwner
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.
DR HANSEN'Pt.UMBING
PAGE 01
t_9/:' 12""~___"_9~': ___:202337466
Ci~::" ,,,( OsjkN~
l;t';;-:c::~o:, Ser,'ices D;':ls;on
PC !k-; i 13(1
O~l::.;,::h, "NT. 5WO;-\130
rh~):;:; (9:,0) 2 }(i-505 0
r~_~;;zc\) 236-508.~
t?~
,<~
~.,.-'"''"''
Co \J M Il(.s"-
SfP 12201Jf \
OATh..../
<;~t-,; ;'
:i:;"
.f
~
.OJ8~Q[R
o~ H W^T ~
Ii
Plumbing Permit Applic~tion
: h'; 0';''/ ~Pi)ly r~r a p(:mJt to do and install the following pl\ltnbing on the premises )11:rei,lllofter described" the work to conform to the
\'i :s,~cl\3b St"de T'bJrnbing Code, in the pCr:1ormance o(which an parties hcret~ ogr~e to and arc bound by sa.id staMes.
" ,\)P~ iC~lti ~n(5) and fcc(s) can be, brought to City HaU, Room 205 or maileQ1 to Inspection Services, PO Box 11 ~8,
-,')/:'\\'08h W1 54903- J 128. Commencing work lVithout permit(s) wil1resutt in fees being doubled or $100,00 plus the
;',('nr.al F'~rmit fce, which ever i~ greater.
OR
lL;'1:L.E~.JI,.E()(lJJMl..eL.J1.a ,":idDO: jn~ illJ.l'; ~=~~ f.Lt:A.~fi~uJl t S'\iuem and h aYe.. ~de.g fjg,lf lu nds c.I1 Hk ;, f>p
LL\n_~'!.q!':.1-!.bJJ--p.!,Q.~-~.\sect. _hroujl _QIU {;..:..~_____N " '
g'05- ,,'" I'.,.' . - -" -- , , ' " ,"
21C' /!'II I 0 <:"~ ' : Socr c~,. (0" /.. j.-
.Tol) ,.,ddress -.) , UH I .:::> I .value (lnC1Udingl.b~ ma'cri'l~' ,,' D8.t~~
O"'llcr{')AI't> 5rr S'TA-T(~- Contractor ~m~~~~J-
Li.5l:1glc Fn~ilY DDuplex ~MuJti-FamllY ,DRental DComm~rcial.. 'OIndustrial'
Nunbct' of Fixtures:
rj',:",'..l\
\\,~"l.~.~'
L;'::',~';"\
CD...-
": ,:.' " ~
I,: ~; ;: ,;, k
1'" ';",i,
':"',' , ~ 1 t~.~"e~
:: : '".;: 1:1c.,';' 'J ~wrVi:
~:." ''I':!
F',~.:' r'.,'~ r
1 ;':.:: 7~1! ~
\;,;, '",,\;
: ~',)" '.: S ii'~
~ ,..~,,', z::
r. ~ .' .
f" ): ,',:' ~ \
Eke: ': r-ic Con tractor
\iCl' ~bl\li"Q of\Vork
{"...-.~ .~..___,..,..........iI__._'"
'I Size
I ~ -
~ ~C:l':::-:y :'>~""'..'(~:
i
! Sh~l ~', S~W~~i
,L,~,;~,,: i.: ('I i:::,.~~____._
."f" . , . "
, " :'; ,"
Di,~posal [)rll\k Fm Cau:h B,,-,in
Di$hwi~her Wail. SL W~h Ftn
SUl7\p t'Jtnp l~~ Che~t Urinal
Ejcc\or/Crind ' Eum Sink' Oar Dnin
Wa\~r So/'tn~r Sculry Sink S<:Jda Di~
~al Wa$t( Hnld Sink Coffct M~lw
CIOl!1l'$ Wshr r Prep Sink ~ C011"lm. Ice 1-1lk~
f.!id~\ Serv Sink Sil6 Dr:tin
'Beer 1'.';1 lnt c;,.cuc TMlll Roof Dnin
Clusm, Sin~ Exl cmue Tflp S i)Jld,:. Rec
Surgcons Sill~ R..P,Z. Valve Eye Wash Sm
!3Tcalcrm Sink Shllmp Sink ,....'tt Sc Il(lrr M tr~
Dip Well Flr/W!t Sink Decluct M~lers
Ho.e Bibs WIT Uugc MlIs
, QB.
DElectrk:lnstallatfon Verificatiou form attacbec
(If ReplaQll:lTlmt)
Mate,rial
Type
Conn Type 1
I
r1 00
r~~ t "
#
0.-