HomeMy WebLinkAbout0142492-Plumbing CITY OF OSHKOSH No 142492
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 215 WAUGOO AVE Owner WINNEBAGO COUNTY Create Date 08/05/2010
Contractor D.R. HANSEN PLBG. Category 442 - Commercial- Interior (New /Relocated Fixti Plan
Bathtub Clothes Wshr Classrm Sink Surgeons Sink Roof Drain Deduct Meters
Shower Lndry Tray 0 Exam Sink Sterilizer Soda Disp Wtr Sewer Mtrs
Whirlpool Sump Pump F Prep Sink RPZ Valve Coffee Maker Wtr Usage Mtrs
Lavatory 5 San Sump /Pump Flr/Wst Sink Bidet Site Drain Misc.
Toilet 4 Water Softner Hand Sink Urinal 1 Wait. St. Fixtures
Kit Sink 1 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 1 Int Grease Trap 1
Floor Drain Bar Sink Sery Sink 1 Wash Ftn Ext Grease Trap
Hose Bibb Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn
Water Heater
Use /Nature COMM / Interior remodel. * *PLAN APPROVAL IS REQUIRED FOR GREASE TRAP PRIOR TO INSTALL AND
of Work INSPECTION** debit acct
Size Material Type # Conn. Type
Sanitary Sewer
•
Storm Sewer
Water Service
Parcel Id #
0200310000
Valuation $5,000.00 Plan Approval $0.00 Permit Fees $98.00 ❑ 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.
08/05/2010 09:44 19202337466 DR HANSEN PLUMBING PAGE 01
City of Odds)* Inspection Services Division
P o Box 1130 ��
Osblmoh, WI 54903 -1130
Phone: (920) 136"5050
Fa= (920) 236-5084 \y A • /.IOTl.
PI mbi ng P ermit Application
I hereby appay far a permit to do and install the following plumbing an the pees hareinsfier deseai feel, the wart to conform to the
Wiacoeoam Stab Plumbing Co de, in the performance a[ which all potties hereto agree to sod are bond by said street &
• Application(s) and fee(s) c anbe &ambito City MB, Room 205 ar moiled to Inspection Services, PO Bon 1128, Oshimah WI
54903- 1128. Commencing work without p®it(s) will result in fifes being doubled or 8100.00 phis the 110®11 permit gees which
ever is greater.
OR
1 , _ • a , , P ' t•r ,arti , . , - _ - 1 FeeAcc -te t 'a. , -,,. , - _
- • ,, . -_,. -
if y9p "wit this nroceessezd through err account
4 Advisory • For applicable projects, an Blectelal mom Vedikation (NY) fawn, ski bT the Elettldati
Contractor or Bouneo ..
��. aIIov►eelto:be pemodbt,�t�,'bomea etttbsaatiittaed .
..
. with i1tc pew* applianion. Applications w�o� i iiii iii i s iia , ie, mottle •
processed fur Peradt Issuance and will be =named ibr campiedon.
Job AMMO c2? /5 (jJat 9cr) Vane oneirdieg haerraolorre 45, CVO. CO rate g I 5 1 ) 0
Owner W I n i ' l .UU. . ammeter UP, "1 ur) P1ut-nb:
Number of Adam:
a.oa.>. h Mkt Usk banal.
Show Sett. SYeeaR..p soreaeep Soda
ate± Wader Solketer servic a Shk Cons Mb
rerike; tMrtseFD 9rseo.rsisic wat..s>ti
qtr t 1 Loud Wale SWAM beOmet
Disposal Bern* covet Cem aleaWar
Didbelositer Beni= rink Bidet as eatia.e nap l
Fe -1-- Betdr.el1oep
WaterBeetfr F Pimp S - Dipper Wall Beam Most
0aao®eet°Peerv,t Baer sit* • . .. De.tAs.► j. —_
• Mein *sir ' .. geed Silic vn.�mr� :,.. Wit Urge aear
balm rar l be srk Click DIAS
Electric Contractor (for projects not requiring an IIV Form)
Use / Nature of Work .
. Size Mete:ist Type # Cam T1,pe
Sanitary soarer
storm suer
Water Service
Received Time Aug. 5. 2010 11:03AM No. 2286 06/09