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Home My WebLink About0137733- Plumbing (lateral/sump)0 OSHKOSH ON THE WATER Job Address 820 N LARK ST Contractor D.R. HANSEN PLBG. Bathtub Clothes Wshr Shower _ Lndry Tray Whirlpool Sump Pump Lavatory San Sump/Pump Toilet Water Softner Kit Sink Standp Rec Disposal Gar Drain Dishwasher Local Waste Floor Drain Bar Sink Hose Bibb Breakrm Sink Water Heater Dip Well Use/Nature of Work Valuation Issued By CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Install 4" storm lateral and sump. Classrm Sink Exam Sink 1 F Prep Sink FIrMst Sink Hand Sink Lab Sink Plaster Sink Sculry Sink Sery Sink Shamp Sink No 137733 Owner MR/MRS WILLIS W HAGEN II Create Date 08/20/2009 Category 401 - Res -Exterior (Laterals) Plan Surgeons Sink Roof Drain Deduct Meters Sterilizer Soda Disp Wtr Sewer Mtrs RPZ Valve Coffee Maker Wtr Usage Mtrs Bidet Site Drain Misc. Urinal Wait. St. Fixtures Beer Tap Ice Chest Dip Well Comm Ice Maker Drink Ftn Int Grease Trap Wash Ftn Ext Grease Trap Catch Basin Eye Wash Statn Size Material Type # Conn. Type Sanitary Sewer Storm Sewer 4" Plastic Lateral 1 New Water Service $1,000.00 Plan Approval $0.00 Permit Fees $57.00 ❑ Permit Voided In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to secure any necessary approvals before starting such activity. Signature Date Address 55 KNAPP ST Agent/Owner OSHKOSH Parcel Id # 1603480000 Date 08/20/2009 WI 54902 -3448 Telephone Number 233-1595 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. 08/20/2009 08:07 City, of Oshkosh Inspection Services Division P 0 Box 1130 Oshkosh, WI 54903-1130 Phone- (920) 236-5050 Fax: (920) 236-5084 19202337466 DR HANSEN PLUMBING Plumbing Permit Application PAGE 01 VH 0 ON TMF WATER I hereby apply for a permit to do and install the following plumbing on the premises hereinafter descn-bed, the work to coliform to the Wisconsin State Plumbing Code, in the performance of which all -parties hereto a$ree to and arc bound by said statutes. • Application(s) and fee(s) can be brought to City Tull, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal pernrt t fee, which ever is greater. OR Job A ddressp UO I V Lar f�,� ValUe (Including labor and ttamiats) �/ OV'• ` �V• . ate .1. Owner (�/ �j Q1'f Contractor %•° �� / � . . Single Family [Duplex []Multi -Family []Rental [1C0m11a14r801• ]lndttstrial„ Number of Fixtures; Bathtub Whirlpool Lavatory Toilet Res. Sink Bu Sink Water Neater 0 Gas 0 Elect 0 PwrVnt Shower Floor Drain I.ndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Electric Contractor Use / Nature of Work Size Materi?l Type # Conn.'Type Sanitary Sever ��hh Stotrtt Sewer _j i1 5DR. Water Service Disposal Drink Ftn Catch Basin Dishwasher Wait St. Wash Flrr Sump Putter _^ Dae Chest offal Ejector/Grind Exam Sink Gar Drain Water Softner Sculry Sink Soda Nip Local Waste Eland Sink Coffee Maker Clothes Wshr F Prep Sink Comm. ice Maker Bidet Sery Sink Sita Drain Beer Tap Int Grease Trap Roof Drain Classrtn Sink Ext Grease Trap Standp Ree Surgeons Sink R.P_Z Valve Bye Wash Stn Hreakrm Sink ShmV Sink Wtr Sewer Mtm Dip well Fldwat Sink Deduct Meters Hose Bibs Wtr Usage Mfrs OR DEleetrie Installation Verification form attached (if Replacen-ant) Use / Nature of Work Size Materi?l Type # Conn.'Type Sanitary Sever ��hh Stotrtt Sewer _j i1 5DR. Water Service