HomeMy WebLinkAbout0132520-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 1511 1513 KNAPP ST
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner SALLY I LANE
Category 411 -Residential-Water Heaters
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
Floor Drain Local Waste Ice Chest FIr/Wst Sink
Lndry Tray Clothes Wshr Exam Sink Catch Basin
Disposal Bidet Sculry Sink Wash Ftn
Dishwasher Beer Tap Hand Sink Urinal
Sump Pump Lab Sink Plaster Sink Standp Rec
1 Classrm Sink Sterilizer Surgeons Sink Ice Maker
_ Breakrm Sink Dip Well F Prep Sink Gar Drain
Ejector/Grind Drink Ftn Serv Sink Soda Disp
No 132520
Create Date 08/27/2008
Plan
Coffee Maker
int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Valuation $720.00 Plan Approval $0.00 Pennit Fees $25.00 ^ Permit Voided
Issued By Date 08/27/2008
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
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 performed within two business days from the time the project is ready.
08/26/2008 15:33 19202337466
~•ii'U5: I~_ _lJlli ~1:1~r~iY1
Ir3pc~rlor- Services blvfsion
• P U Box 1130
(3s!!kosb, R''I34903-1130
Phont:(920)236-3050
Fax: (920) Z36-3084
DR HANSEN PLUMBING
Insce~tlvn s+,-YICEt
PAGE 01
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,Plumbing :Permit Application
I Cereby 1 Yor a r ^'r' .., .
~P Y p~rmir rc du and iris all the following plumbing or! tht premisa' hereinstitsr ;Ie:wt:r~hCd, c!tt erur(•, ;u ,:t~ni:ar:r.::,
Wisconsin State Plumbing Coda, in the performaneu of which all parclos heroto arree to and urc bound by said sratute~.
• ~DPlieatiost(y) and fee(s) esn be brought to City Hsll, Room 245 or moiled -o lt>,tpoctioo Sarvsces, PO iioY. 1123, Os~si~al: ~t•;
Sd903-I 12~i. G~mmcn~ing work without pa~rsrir(sj will rrault in ft:et being do-sbled'or S 100.0() plt:s tJta norms: ptrt-tlt fez, ~,~~;
,`vex It greater,
OA
1/ vcre, ur,~ n ,....,.,.,,,... _.....__,_ ,. .
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~Ltg~!/1[lz.tr2h 4~auR r_r.r~n,,.,r -~ _._~~._.-C...,...----ti--
~` Advisery • ror tipp~esble p>cojecta, an Electrical IastaUatlon'Vetiftcation (E1V)_I'onu, s~~r-rd by nc~ F;Irctr;t:;
Contractor or>~nmeowacr (for irtttallatlons allowed to be pCtPormedLrthe homeowner) na~tst be st1l!m;Rrt;
with the permit applicnrlon. Applications aubtititted wit8out an BI'V when each is rcquircrJ, w;Il not be
processed far Ft:rmit ~Seuaace and will be seturned for eomplction,
Jon ~lddre~y s ~ '~ 2~ p
-~-s--~l,.~~ X1,~_~, YSlIt10 (Including y 0 trpt •(y~~, P;ItC Q,~~~
Owner ~. _
;-~ ~- Contractor :~i~/5,~~
I,„_,tilrteJclFumlly uplcx ^YfultJ-family ^>ZcataJ "`- -•"^"--'
QCOMmercial aLlntiusrriit(
\umber of 1Nlxtures; •
~~tatt,b n.:poen!
-~,.`. (.kink Fin r7u;ri _~t„~r.
i.avatr,7• .R--- Sump Pur.+p ~- .~,,, _.
-. tee Chwt 1lrinul
f•.:s. Stns We~cr ;ortner ~.` leul Sink -"'"•• •- ....-
ry ~'-~Jb Ui•,~
RarSmlt w~ Lo`-st! wan. _~.._ lU~a Sint ~..___- •- -•
l:ut'lec 1~1aie,
:ruler ilpter CiOfhp 11'~itr ~~'~ -~"-•
' Ca, .J Elect',;1.1rrYm 'r' chop Sink ,,,,~,,, •' . Currrn. la M ilta
Biael ,,. •--•
SGow,r --- .. bin ai'nk .._,._ site Ot~i9
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Lrdry Tny T~ CA3sAS1 Siak
Bxt Greve Tr-p -
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_
Lab Sulk ~
Surfians SWc
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Fl~strt Slak Brealtnn Sink Sdamp SIn1 --
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^
SIBnL•2!r Did Well FIrtiVsr 51ak
' ~ _
~.~... liad~ct tvlcter.
ri<;Y:cS
F..lrcrr•;c Contractor (for projects not requirtn~ Nn EIV Furtu) _ _
Usz / Nature of V~'urk
.
i Size Material 't'ype # (:~nn,'I'~pc
'
~anlrary Sewer
Srorrn Sawer ~'
'~vatt~ St.n;ICq
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