HomeMy WebLinkAbout0142491-Plumbing (laterals) CITY OF OSHKOSH No 142491
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 217 N MAIN ST Owner CLOVER INVESTMENTS LLC Create Date 08/02/2010
Contractor D.R. HANSEN PLBG. Category 444 - Commercial - 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 FIr/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 LATE PERMIT/ Install new combined water lateral to serve fire sprinkler system and potable water supply.
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service 6" Iron Lateral 1 New
Parcel Id #
0100140000
Valuation $2,000.00 Plan Approval $0.00 Permit Fees $50.00 ❑ Permit Voided
Issued By
Date 08/09/2010
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.
08/06/2010 07:41 19202337466 DR HANSEN PLUMBING PAGE 01
City of 0aaloaeh
Impoction Services Divisiaa
POBaar1130
Oshkosh, WI 54903 -1130
4 111...\ -r )
Phone: (920) 236-5050
Pm (920) 236 -5064 alEigglEi
Plumbing Permit Application
1 hereby apply for a moo do sod install the foDowing phmsbiss on the wombs. b webs.lteraesariea, the work to coifs= to the
Wisconsin stain pbnebing Code, in the performance of wlach all parries hereto agree to aid as bound by said statures.
• Applications) and fee(s) can be b.o to QtyEail, Room 205 or =Bed to lospection Sem►3oas, PO Bar 1128, Oshkosh WI
54903- 1128. Commencing wash witho tpe anit(s) wIll result in fees being doubled or S100.00 pins the nomad pen* fife, which
ever is gtear.r:
OR
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- . . -_JI , _ , r,e d t,! . . o,. •mot 1■
" Advisory - For applicable pro:0ms, an Metrical man Veda ion (Eff) form, signed by the Blectde!al
C.oeslzsetoer at Tionteoarnarlforinstallationt allow allowed in be .ponfor ed by t re . ... . ... a In be rtier ed —
. with the egghead*. sob litt�edwithoIt i 'is . win nabe -
processed ha Fermk barauoe and will be >enoaod for completion.
Job Address 09 ill n rn (j. l n 4 Value er e tieoraa ' � o� ��O� Date ?1(O ` i 0J
Owner 1t7�f .r .,( L11 mQ I(1�:5 Contractor � ice. 1 l td,jY1bi( fl
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N caber of s:
Bilithe Soap Pimp S& Iltattloth
Simmer Se. Seamy Si* _�_ so*�
Wain lemur s
Tosxc Owlet �n . W S
sat WM Iasi Warn Sfecaber tosCtio.t
Disposal B.r sf.t RPZ Yale tomaa*Maar
Dili her 8w.ina . Bane 1Me Omen Tap
PberDalt Clam Oak Udall Blotab..ebap
Bon Bib Bon Si* Bowl* �sWEI
Wow Bees F Pap Siat - n Wel Dki�ecliee�
0GNI0 Rim 0 PorVit Plow R*iit DkatAwc �we8swe<fyr
Clotho, 'Mir — Mod f Milk Walt Po& ''.. Mk Mop Mt
ladly Ta5r zati Cook Bath lam 1I s
Electric Contractor (for projects not requiring au EIV Fovea)
Use / Nature of Work .
M
Size eted Zypo # Oaen Type
Sanitary Sewer
Stain sewer
Wither &wide, CP .
Received Time Aug. 6. 2010 8:59AM No.2298 06/09