HomeMy WebLinkAbout0145982-Plumbing (water service) CITY OF OSHKOSH No 145982
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1503 W 9TH AVE Owner CHARLES R KARNS Create Date 05/20/2011
Contractor D.R. HANSEN PLBG. Category 401 - Residential - Exterior (laterals) Plan
Inspector Rich Wood
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
Use /Nature SFR / Install water service.
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service 1.25 Plastic Lateral 1 Relay
Parcel Id #
1311080000
Valuation $2,500.00 Plan Approval $0.00 Permit Fees $50.00 ❑ Permit Voided
Issued By Date 05/20/2011
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.
05/19/2011 08:43 19202337466
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DR HANSEN PLUMBING PAGE 01
City af Oshkosh
Impectiai Services Divitdon
P 0 Box 1130
—
Oshkoah, W154903-1130
(1111
Phone: (920) 236-5050 .
Fax: (920)236-5084 EUE(B
- -
Plumbing Permit Application
I hereby apply for a permit to do mid install the following plumbhig cm the premises hooka/1w describe', tlie we& to coda= ID 1 b 3
WISC011510. Sate Plumbing Cods, intim perthrmance of which all parties hereto agree to and are bound by said minim
• APPlicalion4) sod fee® Cal be brought to aty Mil, Room 205 or mailed to hapoction Services, PO Sir 1128, Oshkosh WI
54903-1128. Oiramencin' g wade without perodt(s) will result in ihas being doubled or 8100.00 pas the nomad permit the, which
ever it grader.
OR
" Advisory- - For anaemiae projects, an Electrical Installation Vecifiadon (UV) foam, signed by the Illextdoel
Contractor or Heaseoweer(foriastallathosuliowedao be petformedbyAR1nonseowned, _awe be subeabtal .-.. .
. with the penult application. Applications sulanitted-widiolit ttfiiiiiiidi 1i ..ttili men •
processed for remelt Issuance imd will be returned ibr completkm.
Job Address • • - , tt )4 Valk* (Waft Merged neezills) # aratIO , CI° Delft 5 I 14 1 l I
Owner a- a - •- eh ' Contractor D 'a 1-kauvar,n___?_11."%lni n
aim* Amity II ii• . , ,, ' Obleitl-Famay Chimed InCommonial
Number of lrminree:
Ps Ikettwagin
— —
Shone
unat __ Maw risk
--- Soda019 __ W
WhidgIcit!! _ Swipe Mk — Coals ler ______
LarlseqY _ Show Slot Sin Dail
_ _
To . Fp Upon Silt _
— _ • 'Min Sig
Seal* • • Wain Seamy Rs Cign
—
Dimmed
RPZ Win Coma bp Ilia
— _
Didgradter : _ , si
• — Bite _ be amen Tap
agar Link 0 . • Sigh Mind _ En agog Up
Hag Me :. 3iiii
---.— Bur lEgp _ Bye Welk an ____
Wow Henri F 94 - -- DtvpirWeii Dellinlitger
_ —
0 as 0 fame 0 Plefet .
MIEN& . _ - ,... . _. _- - Mitt *wiri ____
er
... .. ..... .... .... ... .
00116i Wily : , mik .... . _____
- . w
Inkyrialy Lib : - ' Csnit Hen _ lamPibma —
Electric Contractor (for pro - , L not requiring an UV Form)
11111411111 .
Size 1
Com Type
Sanitary Sewer
Stoma Sewer .
' .
Water Service , •
: .
. .
Received Time May, 19. 2011 10:02AM No. 5720 06/09
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