HomeMy WebLinkAbout0133821-PlumbingOSHKOSH
ON THE WATER
Job Address 1522 OHIO ST
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner GB INVESTMENT PROPERTIES LLC
No 133821
Create Date 08/06/2008
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
Category 410 -Residential-Interior
_ Shower Water Softner Wait. St. Shamp Sink
_ Floor Drain Local Waste Ice Chest Flr/V1Ist Sink
Lndry Tray Clothes Wshr Exam Sink Catch Basin
_ Disposal Bidet Sculry Sink Wash Ftn
1 Dishwasher 1 Beer Tap Hand Sink Urinal
_ Sump Pump Lab Sink Plaster Sink Standp Rec
_ Classrm Sink Sterilizer Surgeons Sink Ice Maker
_ Breakrm Sink Dip Weil 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
Valuation $500.00 Plan Approval $0.00 Pennit Fees $25.00 ^ Permit Voided
Issued By _ Date 11/05/2008
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 starling such activity.
Signature Date
Address 55 KNAPP ST
AgenUOwner
OSHKOSH
WI 54902 -3448 Telephone Number 233-1595
~ o scneau~e inspections please tail 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.
11/04/2008 13:52 19202337466
ln~pe~rl~n Services Division
P d eox 1130
c•~hkosh, W7 34903.1130
Fax: (yr20) 23G-3084
DR HANSEN PLUMBING PAGE 01
InsedtCion 34rvICFs
"`I
.Plumbing permlt•Application ~, • ~ N~r.L,.:
1 ~areUv epply Cor a pt:rmlt is do end instep d:e follpwing plumbing on tht pren-hes hefeinatEer descrih4d, r9c work ro c+~nt'cr~r -,~ •~
~/is:•onsin Strec Plumbing Codc, In the Mrformtcnw of which r;ll p9rriet hereto Arne to end are bound b ~ .,• •
.t .
Rpplicariort(s) end faa(a) e:vt be fareughrto City fir<II, Room 205 or m:alled t0 lnsl~ccrioa Scrvtces n Y ~ id srarurer,
zve; i. granter, ~ • O c~nr. I I?3, Oshi:•:sl: N':
5~903•I 128• Gommcnning work without permit(sj will rc:e,ult in fi:e! being doubl¢d or 5100,00 plus the norms, ptrmit fea ',~~~ ,
OA ~ ...
-~"_r".z.~ '~.J-G(Zi/.Zdl• o u r C C ~ n v ... f1 --~-~-.~w.~+w.+.t..ut1 s. n~~-S{S?.~Q ~(,d r~',.~u ~ ~ ~~
"`Advisory .1'or dppiieable pcvjerpr an Electrical Tnstallatlon'Verl~icatfea
Cotttra~r or lxcimeowacr (for ~stallatlons allowed to be pcrtormed4rtht; hotaseowacq mrust be the E~IcrtricaJ
with the permit app);leation, ~ppl~catioxe aa6mirtt:d withoat an 81Y when such Is rc vitae( ~v• submitted
processed far Pt:><zait:Isautmco and w1Q be returned for eo:wplet(pn, q Ill not br
Jon ~lddress ~ o> ~t
Ynlug (-oCludin` hbure~d,rgierlah; ~ JL 4 0~
O~cner note
' Single Y~amll Contractor ~~' ~~, ~ -
r ^nunlt;x L:~viuia_FarollY QRcotai ~ib1 /1•~}~_
~CorntnerclAl ~iodustri»'f~--~
\umber of ~'Ltitures;
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Flrctri~ C'untrnctgr (for projects tint requiring Hn ElV Form)
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