HomeMy WebLinkAbout0142053-Plumbing (water heater) CITY OF OSHKOSH No 142053
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1675 OHIO ST Owner 1675 OHIO STREET LLC Create Date 07/15/2010
Contractor D.R. HANSEN PLBG. Category 411 - Residential -Water Heaters 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 1
Use /Nature Replace gas water heater (serves both units). * *debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1302210000
Valuation /y $�730.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By U'/1'n -1-i
Date 07/15/2010
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.
07/15/2010 08:24 19202337466 DR HANSEN PLUMBING PAGE 01
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI54903 -1130
Phone: (920) 236 -5050
Fax (920) 236-5084
Plumbing Permit Application 111
I hereby apply for a permit to do and install the following plumbing on the prnises hereinafter detailed, the work to conform to the
Wisconsin State Plumbing Code, is the performance of which all parties hereto agree to and are bound by said sties.
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Saviors, PO Box 1128, Oshkosh WI
54903- 1128. Commencing wade without permit(s) will result in Sees being doubled or 8 100.00 pins the narnal permit fee, which
ever is maoer.
OR
I - e a • c • , art' -„ in t, - ' eraeit e - Ace • t S st „ t d have a, , - , , re
i •vw ±it this • oc• - dthr•i<- , race_, `•
" Advisory - For applicable prqjetxs, an Electrical non Verification (HIV) form, signal by the F.leceriatl
Contractor or Homeowner (forinstallationsallowed to be petfoimed by the laaaneowoer).m be submitted ... .
. with the permit application_ Applications submitted withoa .l ..... itch' is re miler, win not be
pressed for Permit issuance and will be maned for completion, 5' i S ' 0
Job Address 1(175 Oh i D Si 'Va� � =Web) is r13D Date S
Owner NI VP Filth Contractor . R Finns() r> Plumb I /1 �
❑Siagle Fatally jaDuplex OMaWi -Famiy OReadal OCommereial []Iiadtdrb a!
Number of Fixtures: , --gi / 1‘62-476("'
Bedaub Sump pomp Plaster stet Ito f Am
Slower Sad Satleiy Sim Soda
Wh %tor Wilmer Sege Sisk Corbel 1
tsramy SandPiPe Ree Shins stain
Toilet see Drain
(3. Stasms Sint Walla Ste
Kit Sint roar WRY
sty
Disposal _ be Cleat
Bar sink RPZ Velve Ceram Pee bbtoer
Dishwaha &edam Scot Bidet be Ctrem Tr
Floor Drain awes sirs Mad mu crest Tap
Hose Bibb Emus Sins Beer Tap Bye wads Sin
Warr Haler 1 F rap sink Dips VAS Deduct Mew
DElectOPseint Foos sink .
clothes *Mg Drink Paw our Sewer Mir
Head sink
Wry r� Wash war tins l
r ib sink C� timin
Wm summa
Electric Contractor (for projects not requiring an IIy Form)
the / Nature of Work 1 i,U_' 1 - . t 1 I ... ♦ . T a ' 1 14I t
Size Material T # fm Type
Sanitary Sewer
Sty Sewer
Water Service .
,
Received Time Jul. 15. 2010 9:42AM No. 1946 06/09