HomeMy WebLinkAbout0143500-Plumbing (addn to #142492) i CITY OF OSHKOSH No 143500
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 215 WAUGOO AVE Owner WINNEBAGO COUNTY Create Date 08/12/2010
Contractor D.R. HANSEN PLBG. Category 442 - Commercial- Interior (New /Relocated Fixti Plan F8- 394 - 0610 -P
Bathtub Clothes Wshr 0 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 1 Lab Sink Beer Tap Ice Chest
Disposal 0 Gar Drain Plaster Sink Dip Well Comm Ice Maker
Dishwasher 1 Local Waste Sculry Sink Drink Ftn Int Grease Trap
Floor Drain 1 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 Fixtures added to permit #142492. **debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
0200310000
Valuation $1,000.00 Plan Approval $0.00 Permit Fees $28.00 ❑ Permit Voided
Issued By
Date 10/07/2010
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.
10/07/2010 07:07 19202337466 D HANS PLUMBING PAGE 01
City of Osidmak
p � :cis Services Division
ox 1130
Oshkosh, WI 54903 -1130
1'boocc (920) 236 -5050
Far (920)236.5004 eil:A� ■
Plumb/ Permit ,�
n9 Application
I h e r e b y a p p l y f o r a permit to do and instal t h e * M o w i n g p on ths muting hereinafter W couta Stied performance Code, in performance ofwhich a&pWUa hereto 4 to t� btad by and to ant= p � des
o
54903-112S. Commencing
a) and fix(a) can be brought to City EMI, Room 205 or mated to bepoction Services, PO Box 1120, Oshkosh WI
ever is walk without Pia) will result in ibex being doubled or 2100.006 the normal permit b4 which
OR
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If volt Want this procernd Argos* your cocaine ',
Advisory a[ Howse projects, an Ideat:1cal 7»trallaho n V (UV) form, signed by Electria�l
. with Contractor dliatiawallowedt�o b the : �psptbesw_a�ed -.
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Electric Contractor (for project not requiring an EV Form)
Use / Nature of Work •
Miscrial Type tr Coalt. Type
Sanitary Sewn
Stator Sewer
Way Service
06/09
Received Time Oct. 7. 2010 8:26AM No.3158 .