HomeMy WebLinkAbout0133122-PlumbingOSHKOSH
ON THE WATER
Job Address 1816 OHIO ST
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner JOHN P/PAMELA K ANDREWS
Contractor LARRY HANSEN PLBG
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Category 410 -Residential-Interior
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest Flr/V1Ist Sink _
1 Lndry Tray Clothes Wshr Exam Sink Catch Basin
Disposal Bidet Sculry Sink Wash Ftn
2 Dishwasher Beer Tap Hand Sink Urinal
_ Sump Pump Lab Sink Plaster Sink Standp Rec
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 133122
Create Date 01/17/2008
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Valuation $1,600.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
Issued By ~/y)~) Date 09/25/2008
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address N-1044 TOWER VIEW DR GREENVILLE
WI 54942 - 8683 Telephone Number 920-757-6863
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not pertormed within two business days from the time the project is ready.
Inspection Services i~f~rision
F' C} l3c-x l l ;t 0
(=ishl:osh, Wt 5~I4~3-1 E30
Fax; (~~~j z~t5-;osa
a5
~'tumbing Pt~rmit Application
No. 241 ?~--~,P. 1 •
ON THE 1{t T6R
t IlerCby apply for a permit to do and install the fullowitlg plumbing on the premises hereinafter desCt'tbed, the work to conform to the
W ISGL1it5111 Sl~~te Plumbing; Corp, in the pGrfortttance of which aU parties hereto agree tq and are bound lay said statutes.
i Application(s) and fc.4(s} can be brought to City Hall, Ftoum 2U5 or mailed to Inspection Services, PO Box 1128, Oshkosh Wt
5~190~-1 12$. Commencing work without permit(s) will result in fees being doubted or $10O.QO phts the normal permit fee, which
~~JCr IS ~;rdHtNr,
~~
1 o~.IIC~,.. n-tlrcrci_c~r ~artic_r~ating_i~t the E'ernri! F~.g_rlccourtt Svslent and have i~rlenu~i/e j'unds check here
r ` ~, -v_c nf~ris~~racESSe.d tltrot:~h ~,o2.rr Gr:eaelni ,~
** Advisory - For a~l~lit:able projects, an electrical T~istallation Veriflcation (EIV} faErrn, signed b~ the Electrical
~c1'ntractor or Hoyi~epw;ler {li)z' installatio><ts allowed to be performed Uy the liorneowner} mrYSt be submitted
with tl~e pt'•Y~nit aliplicr3titin, Ali+plxcatians siilbmitted ~s~ltttout an BIY when such is required, will not be
p~'ocesse(1 t'ar Permit Issult;nce t>:i>;d wilt be rertrrnCd For cn>!mpletiom.
Job A(ldt•ess (~I lp ~r l 1 ~ VrtluepnGludinglab~randmaterialsa !~ U ~ I~ate~-Q~
CJivrjcsr ~~U~~~1 S ~Q~ Contractor
[~~lit~li 1~tt-ttity [~Ut:lslc~ L]lbit;;ltl-l;atflll
y QRentE;;t Lonmercial QIndustrial
Nurn~e7• of Ir'ixttires:
E3nlhlgb _-_ t315ppSal Urink i'In _, Catch 8rrsin
1Nbirlpool -----._. llisbwashcr __ ___-__-. 1Vait. St, l4'esh Fir-
Lavatory __-__ Sunip Pump _ ^-_ !cG Chest Urinal
TUIICf
E,ieclor/Grind
6xurn Sink -,.._.._.._,
liar Drain _
kcs. Oink ~_ 1Vater Softncr __.. _____ SGUiry $ink Sada Disp
Bar Sink
- local Waste
Hand Sink •
Coffee Mager
wArcf Hea[er _
O Caas Q Eicot 0 i~vr~`nt C'lo[hes Ws6r P Prep Sink Comm. ICO Maker
Shower fsidcl
5erv Sink
Site brain
FI„i,r Drain Itccr `fa
P
_,_-~ ]nt Grease Trap
Roof Drain
ndry fray (assmr Sink
~ ~
Ext Ureasc Trsp
Stand Rec
p
___-__-.__
t.ah S10k Surxeons Sink
R.Y.2. Valvo
Eye lYash Sdr
~'
-- Braakn-- Sink Sitamp Sink Wlr Sender Mfrs
Plniter.Sii,k --,- Di \uell
P
FIr~Wst Sink
Deduct Moles
Srcrilixcr - tiosc Gibs
h't t 14', - -- Wrr Usage Mlrs
tlxinres
L'lect>!•c (~o>tt>!•tlctt>r (f'or projecta dt~t ;t•KCitiii•ira~ an IJIt' Form) _
(lse / NtE!ture of 4Yarlc
_ _. ___e,-_ .~ Jit._ -------~149nte1'Itllw__ - Type Il Conn. Type
:unitary Sewer
.Jtorm S4'WeI
11'€ltr?r S8f4'iL'~
07/07