HomeMy WebLinkAbout0133371-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 410 DAKOTA ST
Owner RALPH W HERGERT
No 133371
Create Date 10/08/2008
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
Valuation
Issued By
Category 411 -Residential-Water Heaters
_ Shower Water Softner Wait. St. Shamp Sink
_ Floor Drain Local Waste Ice Chest _ FIrIV11st 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
Coffee Maker ___
Int Grease Trap ___
Ext Grease Trap
RPZ Valve _ __ _
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Date 10!08/2008
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
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
AgenUOwner
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.
$650.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
10/08/2008 12:45 19202337466 DR HANSEN PLUMBING PAGE 01
Ci~u-'_!:.._!~itr r~:~7r;~ Inst~z:c~o~ ? ~ crs
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Irspe~ri~n Scrvlca, bivfsfon ~ ~ ~ C- ~ _-"~P.
P G Box 1130
Gs'rlcosh, WI54403-1130
Phone; (920) 2)ti-3030 •
Fex:(920)23G-3084
'N
.Plumbing Permit~Appltcation
1 !'treGy Ply for t ps:rmit to do and ins;nll tre Following plwnbing on the pramt~as herein+tftar;lrar:ribc;d, rot \~erl, .u ct,;\icrn•, •,~ :y;
Wisconsin Strtc Plumbing Cotlb, fn the perfortnrncu of which vll pontes herato arr~aa to ^nd urr bo~ind by t:ti,~ ~rarure~.
~pDlicnrion(s) and feels) t:;v- be br~~ugt',t to Ciry Hxll, Rporn 203 or mulled w inspoccion SZrvrcas, PO 8~r. 1 t?S, 05'tY,•~sl; ~~':
54903.1 128. Cornmcncing work -vithotK Renr.it(sj will rwsulr in tuts being doubled or SI OO.OtI p;t:s Urz nurmu; perttt:t iea,',t•:;~;;~
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''` Advisory . I"or applicable pxojecp, an Electrical Installation Vertfleadon (EN),forxu, s;):r:ed by the •E;lrctrical
Contractor or Hnrot:ownrr (For installation' allowed to ba pcrformcd brthe hotueowner) nutrst ba subminrd
~°ith the pean)t application, :~pplicatione su6nsitted withoat an BIY when s~ucb is reguirccl, will not be
processed for Ft:rmit Issuzaca and wi11 ba racurned for completion, •
Job ~tddrrrss 1 ~ _,~ vt1JI1C (lnaluOinQ gbore~d mntcriL~~~
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O~-~ner Contractor j~ ~ ` ,,.~, ~~
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y ^t2catal ~ (~]CommerciRf []lndu.~tri~
umber of Fi.Yturas:
ttrhfub Aispaa~
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'~:?t:rlpool ~~ ~ .,..- Cc:ci Burr,
-.dVyfnn~ SY11-n iYrlp -_..~ ~,.~ W;~~.i Flo ..~....
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eR~tn link
Wear 5om+a 5outry Srnl . `"r
Loin; Wen. Nand Sinlr .-."
Ciotlsp ti1'~Irr F Prep 51nk
~~, ~ Elcq .; I't+~r~'m "`~ ~ t;v~rn.l~t Mika _
B ~dta 5cn• Sin k
S~ow:r ---- .~ Side Os7in _ _
f laor brn~n 8ocr 7ep - Ipt Ctr~be Trap _ ~ ~ •
CltusrnlSink -' Rau•°nr:ir ,_-__•
. ~,:,~. T„y ~ . Exr Gtwse Tap ^~ _. Ctun•Jli Rc,;
- Sur3eono Slak RP.2, ~il~c ' ----
LaDSiat F.y<KuxhSln
"--" 9raukmt Sink Shtimp 3(nt ---- -
ylrstrr Sick "`~"'- 'N7 5ewv htsr~
' qia WrU FIrrW~r Slak --._.---
$12r11:ZCr ""~ I iW JCt M alCr.;
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F..lCrcr is Contractor (for projects nat requlrin~ „n EIV 1Furm) •
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