HomeMy WebLinkAbout0140603-Plumbing (laterals) @, CITY OF OSHKOSH No 140603
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 650 JACKSON ST Owner ULTIMATE PROPERTIES LLC Create Date 04/20/2010
Contractor D.R. HANSEN PLBG. Category 401 - Residential - Exterior (laterals) Plan
Bathtub Clothes Wshr Classrm Sink Surgeons Sink Roof Drain Deduct Meters
Shower Lndry Tray Exam Sink Sterilizer Soda Disp Wtr Sewer Mtrs
Whirlpool Sump Pump F Prep Sink RPZ Valve Coffee Maker Wtr Usage Mtrs
Lavatory San Sump /Pump Flr/Wst Sink Bidet Site Drain Misc.
Toilet Water Softner Hand Sink Urinal Wait. St. Fixtures
Kit Sink Standp Rec Lab Sink Beer Tap Ice Chest
Disposal Gar Drain Plaster Sink Dip Well Comm Ice Maker
Dishwasher Local Waste Sculry Sink Drink Ftn Int Grease Trap
Floor Drain Bar Sink Sery Sink Wash Ftn Ext Grease Trap
Hose Bibb Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn
Water Heater
Use /Nature Repair 6" sanitary lateral.
of Work
Size Material Type # Conn. Type
Sanitary Sewer 6" Vitrified Clay Lateral 1 Repaii
Storm Sewer
Water Service
Parcel Id #
0703260000
Valuation $1,000.00 Plan Approval $0.00 Permit Fees $50.00 ❑ Permit Voided I
Issued By Date 04/22/2010
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.
04/20/2010 06:50 19202337466 DR HANSEN PLUMBING PACE 01
City of Oshkosh
Inspecticat Services Division
PO Box 1130
Oshkosh, WI 54903 -1130
Phone: (920) 236 -5050
Fax (920) 236 -5084
Plumbing Permit Application "'� n
1 h ereby apply for a permit to do and install the foflowing plumbing on the premises hereinafter described, the as k to conform to the
Wisconsin State Plumbing Code, in the of which ell parties hereto wee to and are boned by said notate;
• App (s) and fee(s) cmi be brought to City Hall, Room 205 or mailed m Inspection Service; PO Baas 1128, Oshkosh WI
ever is greater.
54903-1128. Cammaacing wort without permit(s) will result in gees being doubled or 5100.00 ploy the nomad permit fee, which
OR
.1 • ar • c • , r • • ion , s Per.. ' Fee , cc , , S
I wont this processed through your account °� ` at` `
st
" Advisory - For applicable , m Ele tdcal Installation V
Co ct r or He (��ationa allowed to be f w )Dot by t F itted ai
l!7 t1.e.,.....tatbc submitted
with the - :. . ,.: . :: •....::
application. Appilrasdons s�ybmimed w yart an Env' ' : , - , is _ for comp , , • ' w •
processed for Penult Xswancc and will be lammed, � ix
76 CLOY) u^ ,
Job Address 1051) S� Value astabarandnontiaie) La. '• era: / DateA42410
Owner , k___ Contractor b � �
❑Slagle Family �' !, 12D OReatal. OCommerciad e ,
Number of Pura:
Net* Sump Ps
Shaver Rosanne s.n Stsplltip Saaseey Sisk Sala Tao
W hQipooi Wier Seems Suvict Steak
Lavatory Ga6eat�r
ste.alpaps Roc Snoop Sink See E nto
Toilet Gallo FD
•
StieSenes Silk Walks
Kit Sink Leal Wave
swear kw Chat
Da Sink R7ZVie Cam loeMiler
Dieherahar Brain= Si* Bidet lot here Trip
Floor Dais Chown Sisk Udall Tian Clare Tap
1Toae H1b Rum Sisk Baer Tap Rye Wadi She
Weer Hearn P Prep Sisk Dipper Wee Data* hear
O Gs O M e t PwrVVt ..wk Sesser Mar
PloarSiak T7mkPoea
Clothes Warr lend Sink Wantsltim 7f irUser her
Lathy Tray [ , Sink Caton Head hew The ma
Electric Contractor (for projects not requiring an EIV Form)
Use / Nature of Work repall ,
AStvidaAAi
Size Meterw TYPe g Caen. Type
Sanitary sewer
Storm Sewer
Water sew
1
Received Time Apr. 20. 2010 8:09AM No. 0635 06/09