HomeMy WebLinkAbout0131089-Plumbing (laterals)OSHKOSH
ON THE WATER
Job Address 110-130 WISCONSIN ST
CITY OF OSHKOSH
No 131089
PLUMBING PERMIT -APPLICATION AND RECORD
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
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
Wait. St. Shamp Sink Coffee Maker
Ice Chest Flr/Wst Sink Int Grease Trap
Exam Sink Catch Basin Ext Grease Trap
Sculry Sink Wash Ftn RPZ Valve
Hand Sink Urinal Eye Wash Statn
PlasterSink Standp Rec , Wtr Sewer Mtrs
Surgeons Sink ice Maker w Deduct Meters
F Prep Sink Gar Drain Wtr Usage Mtrs
Serv Sink Soda Disp
Valuation $4,000.00 Plan Approval $0.00 Permit Fees
Issued By
Date 06/30/2008
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
~.:~~~u~~e mspeci~ons please can 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 performed within two business days from the time the project is ready.
$50.00 ^ Permit Voided
Owner SAALSAA BROTHERS REAL ESTATE LLC Create Date 06/30/2008
Category 401 -Residential-Exterior (laterals) Plan
06/30/2008 08:11 19202337466 DR HANSEN PLUMBING PAGE 01
C•:".~=~. '=• c•~i•+, ~I,LLr:Y: ;r$t~rii iC~.~ 5?r1~1:i5
In,ceeti~n Services Division `~ ~ ~ ~ ~•"~Y.
P ~~ ~3ox 1130
Ci:;~xosh, V.-I SdyO~-1110
Fax: (920) 2,5G-5084 ~ ~,~,,,_
• Plumbing Permit Application
~erel,Y amply Cot n p~~rrni[ tc do rnd install tl:e C'ollawing plunbing or[ :hb premises hcreinaher durribc.d, t^: were, iv clutfGr:1. •:~ .~-
'Nisoo~sin S[etc Plumbing Codr, i:- [he performance of which all parties here[o agree to and ar[• bo~lrld fy s,;i3 sta[ur~:.
a ~?vile, Ur?l'i(9~ an[f ree(b) c:ur be orcugl'It to City Hall, Doom ZOS or nh~iled to lnspccti~,n Ser.tces, n~ 3~>: ! 12 q, ~~`IriC•s!t ir:
sa`)0:~•i Iz~. Gpmmcne;ng work +vithotrt perlr.i[(a) will rc:ault i, fees bting dot[bltd or S I r)p•Ot) P;~S Ala nurma: per-+I1t e~, •., ~;;_ -
dve' i~ 8'earer.
OR
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"" Advisory • ~qr app~eable plrojerts, part Electrical Installation Ver)flcatton t;EIV) porm, si riled b tlse E•le •
Contractor or ~ctmeowncr (for installations allowed Co be performed br the homeowner) twist ba sul,m;ttr/i tc„i
with the permit app~cagon. Appt{cations snbmittcd without a>n 81'V when ~~ is rcguirctl, will nqt be
processed far peTauit ZsSy~ttce and will be returned for eomplrrion.
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