HomeMy WebLinkAbout0127574-Plumbing (lateral/basins)
,.-
OSHKOSH
ON THE WATER
Job Address 1423 MONROE ST
CITY OF OSHKOSH No 127574
PLUMBING PERMIT - APPLICATION AND RECORD
Owner KURT J METKO Create Date 10/29/2007
Plan
Category 430 - Industrial-Exterior (laterals)
Contractor D.R. HANSEN PLBG.
Shower Water Softner Wait. St.
Floor Drain Local Waste Ice Chest
Lndry Tray Clothes Wshr Exam Sink
Disposal Bidet Sculry Sink
Dishwasher Beer Tap Hand Sink
Sump Pump Lab Sink Plaster Sink
Classrm Sink Sterilizer Surgeons Sink
Breakrm Sink Dip Well F Prep Sink
Ejector/Grind Drink Ftn Serv Sink
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature Install 6" storm lateral and catch basins for area drainage.
of Work
Shamp Sink
Flr/Wst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
2 Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Valuation
Issued By
Size
Material
Type
#
Conn. Type
$5,000.00
$0.00
Permit Fees
Parcel Id #
1507310000
Plan Approval
Sanitary Sewer
Storm Sewer
6"
Plastic
Lateral
New
Date 10/31/2007
Water Service
$64.00 D Permit Voided I
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which.it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 55 KNAPP ST
OSHKOSH
WI 54902 - 3448 Telephone Number 233-1595
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
i
HI/25/200] _08: .~~. '.. :). ~t,0.?337 ~~,S. , 'd I ~ 'l
",,1_... _.. ________
Jrlspe::.Tlon Servic~!l Divisicn
POBoX 1130
05hlc.o~h. WI.5490~-1l30
Phone: (920) 236-505:>
En: (920) 236-5084
~ ~ I V I " t ~
DR HANSEN pLUMBING
PAGE
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01
- Plumbing Permit Application
I bereby apply for a pennit.o do and insrall Itr: following plumbing on the p~miw hODatter d4i!olcribctl, the wort<. 10 confol'lr. to The
Wisci)nsin S~ Plumbing Code, ill the pclI'funnancc of which all psttics hereto a:ree to and llre bound by sai..t statUles..
Owner
DSingle .'omily
· Appli,ation(s) and fee(t) can be brcll&huo City "lLll, Room 205 or mail~d to Imp~tiOD ServIces, PO Box 1128. ()sh~O$b WI
S49<l3.11 ~$. Comm<:n~ing work wi1hout pcrn:it(s) will n~ull in fees bel.t18 Mubled Of $100.00 piUS the normal pemdr tea, which
tver h greater, .
OR
~ ;~= :::; l~~:;~:::;s~;"::;'::i'::~~~ ~Cltf:;:~~<;collnr SlISt.fl1n Qnd hQ'i1 adc'luQt~ ltr"d.~,.blJnk IUJr'i
*v Advis~ . For aptJIica,1l1e projects, an. Electrical Installation Veritkadon. (EIV) ,form~ sJ.gncd by die 'Electrical
COfttrilCtOr or HDlDeowl1CI (for installations allowed to be ptr:for.med. 'by the homCOWDU) must k sn'bOlitted
with the pennit Ilpplication. A.JlrUeadoDS submitted without sm ElV ",hm sadl 1& require4. will nl)t be
processed for Pelmir; Isauaace and win be returned for completion.
~
Job Address 14;).3. moo ra-e.... Value (IudlNlillJJabotand m.~,) S-ooa Date ID- dlD-~1
('0_"'<-<:- '!-.. n ~ 121 b . .
0'-l Contnldor UIC. n (...(ttl In
DMulti-Fantlly o Rl:Dtal rnmerdal DlnLrial
Number of Fixtures:
aatbtub O15))oSll' !)rink fIn CwclI ~a>i!\ .~
WI'Iftlpool D!snWll~:t WlIll ~l, WllllhP[G
UWlrlry SVlnJl Plar,tp io: C hcsl Urilllll
Tol~ F~rlGrilld Exam Siftk o.r Dram
Res. Sirl~ Wa'C!' S6ft11er S~ul')' SllIk S:;da DiliD
BarSinlc Loea! Wast; HIJI(lSiftl ~t;C Mabr
Willet JoiCIIlcr Cio(hl;J Wshr r~Sillll COlr.!l1. If;O M2ker
: : Car. ..J Etter J FwrVl\! 8i<kl Ser.- ~in k Sil~~i-o
Sl'\:)W,..,. B<<rTftp lilt (j~e TIap R!lafDr:dn
Floor Dnlll) Ca-m 5lllk E.'" Grcue Trap Sw!lp Re~
Lndly T IIY Sur~KItlt SUlk R..P.Z" Val.,!: J;ye W.1l !)\lJ
LabSillk BteWm Sbk SlI'alrlJ SinIc Wlr Sewer M'B
Pl~!let SIr>>: Di;JWoll FlllWit Slllk DedIlCl. Mtter.l
S Itrillltt H;)Senm Wit l"'''Il~ MI1l
Misc_
~ ;.oQu;llll
Electric Contractor (for projecfs hot requiring yn EIV Form)
Use I Nature of Work
I'
I
I Sanltal)' Sewer
I
I
: Storm Sewer
: Water Service
I
,---.
Size
Mal.erW
Type
it
~orul_ Type
I
I
i
J
G
If
PVL
S-o rL~
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