HomeMy WebLinkAbout2011-Plumbing (water heater - #204) la) CITY OF OSHKOSH No 146792
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 202 -208 E TENNESSEE AVE Owner WILLO HOUSING CORP Create Date 07/13/2011
Contractor D.R. HANSEN PLBG. Category 411 - Residential -Water Heaters Plan
Inspector
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 204 E Tennessee, Apt #204 / Replace gas water heater. * *debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1506380000
Valuation $730..00 / Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By a Date 07/13/2011
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.
07/13/2011 06:12 19202337466 DR HANSEN PLUMBING PAGE 01
aly of Oshkosh
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P O Boot 1130
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Oshkosh, WI 54903 -1130
PO= (920) 23640E4 •_T L: A , ETA:
Plumbing Permit Application
1 hereby apply for a permit to ao and instal the following p on promises hancinedterdescrEed, d to conform to the
Wisconsin Sink Phoubing Code, in the performance of which ail patties hereto agree 1 and ant booed by said station.
• Application(s) and fee(s) ran be brought • o City Hal, Room 205 ar mulled to impaction Services, PO Bat 112x, Oaten& WI
54903 -1123. Commencing wa lkwithoutpe (a) will sic in fees being doubled or $100.00 plus the 11000A1 permit the, which
e vM is greater.
OR
t
** Advisory - For atppliwb1e projects, an Electdad losediation Vadiaoldo n (EIV) ice, signed by tale Madrid
Contractor or Homeowner .(for ioedltaIioum2Uowedto be •Pez$osawdby. tffieb oseo!w al be ems• --
. with dm p . Appiiaainns subleabmed•witbosf'a iititii s se ; Will not be -
processed for Pamir Laaanoe and will be returned ibr completion.
A 460^04
Job Address eQ 0 y E Tp n r,F S SFO Att. Value _idatliw sebordaammo 6730 • Dam 7i1 a 11
Owner tit\ .? i-kocrci Contractor ►i. tkan rx . e r lumbinq — -
Dii� Yam*" �adasyial
Number of Flamm
MONO swop Peep RON Sisk Roorninia
Shower se lralp se.recy SWIM,
"lig"! WOW Seadrr 9er�iee Sisk Ao�.
Ia.esxy Roe neap se
sibs Dna
Toilet c3.w PD 94ms t Wild no
Irk Sisk Iaod Was; Swaim low dot
d Dm &at Itrz vow,' Coma lin Maw
Dldteets BodinSi* Biiet it ti eTap
now Cioren Sisk tJ� BIS °NSW nap
Met Bibb as rok Beer Tip Rye Waft
W Yeller _.Z,_ FPrep anek - Dipper Wcp Deieo
MS CI Mega PurVat new Oohs wile ..
Rod • 1YI rOfeysl�
L7 T� lab yak - ' (.lreiiAesL Mee Moll s
Rleebr C Contractor (for projects not requirtug an EIV Form)
Use i Nature of Wasik *gyp GSA. id- Oat f k)
Sim t�aold # Cam Tic
Sanitary Sewer
Seam Seem '
Wa Service: •
Received Time Jul. 13. 2011 7:31AM No, 6325 06/09