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Home My WebLink About0144221-Plumbing (water heater) a ) CITY OF OSHKOSH No 144221 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 149 W 24TH AVE Owner 149 W 24TH AVENUE LLC Create Date 11/30/2010 Contractor D.R. HANSEN PLBG. Category 446 - Commercial -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 COMM / Install gas water heater. **debit acct of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 1411450100 Valuation $1,000.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided Issued By a/YK■fl./ Date 11/30/2010 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. 11/30/2010 09:44 19202337466 DR HANSEN PLUMBING PAGE 02 City of Oshkosh Inspection Services Division PO Box 1130 Oshkosh, WI 54903 -1130 Phone: (920) 236 -5050 Fax: (920) 236 -5084 Plumbing Permit Application ON THE W R 1 hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes. • Application(s) and fee(s) can be brought to City Hall, Room 205 or marled to Inspection Services, PO Box 1128, Oshkosh WI 54903 -1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR .1 • ' re a ontrac • r • ar - i • atin • In the _' r it Fee , Ccou S ste„ • nd h• • • e • sate • • s c e , , e if vos want th p is rocessed throu Your aceo n t n -- Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical Contractor or Homeowner (for installations allowed to be performed by the homeowner) mast be submitted . with the permit application. Applications submitted without an EIV when such is requited, will not be processed for Permit Issuance and will be returned for completion. Job Address j. O.' Ace . Valve (Including labor and ) AI, 000. oe Date 111 30 J lb Owner Kg 4+ Ate. t 1..i.4 Contractor D. R. ❑Single Family ['Duplex ElMu ti- Family DRentid Commercial � Dli Industrial Number of Futures: Bathtub Sump Pump Shower Plaster Sink RootDrain San. Suup/Pa p Scullery Sink Soda Dkp Whiktpool Water Softener Service Sink Lavatory Standpipe Rix Cot1x Mlv Toilet � � � Sink Site Drain Tor Sink Surgeons S1nk wean, Stn I oasl Waste Sterilizer lee Cheat Disposal Her Sink RPZ Valve Ise Maioer Dishwasher Umbra Siok Bids Ire (base Trap Floor Drain Charm Sink Urinal Ea Grease Trap Hose Bibb Exam Sink Bar Tap Bye Wash Sill Water Heater F Prep Sink Dipper Well Deduct Meter CI Gas ❑ Elect 0 PwrVot Floor sink Clothes Wsbr Drink Fom wa serer Mtr [end sink Wash Fan way Usage Mu tacky Tray Lab Sink Catch Basin Mist Endues Electric Contractor (for projects not requiring an EIV Form) Use / Nature of Work Inger811 Lie, Water %editt.r Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Received Time Nov,30. 2010 10:03AM No.3888 06/09