HomeMy WebLinkAbout0146861-Plumbing (water heater) la) CITY OF OSHKOSH it • 146861
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD i1L20211
ON THE WATER
Job Address 915 MOUNT VERNON ST Owner PAUUSHELLY FEIL Cre. ' ' . e 07/18/2011
Contractor D.R. HANSEN PLBG. Category 411 - Residential -Water Heaters 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 FIr/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 Sham Sink
Catch Basin p as n Eye Wash Statn
Water Heater 1
Use /Nature SFR / INSTALL 40 GALLON GAS WATER HEATER **debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1001860000
Valuation $730.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By
Date 07/18/2011
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, S
P ( g, ervice, Final, etc.), Access into Building if Secure (how do we gain ent rY) your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work Y q k ma
Y
continue if the inspection is not performed within two business days from the time the project is ready.
07/28/2011 08:35 19202337466 DR HANSEN PLUMBING PAGE 01
City ofoeigk n
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903 -1130
Thom
236 -
(920) SQSO ,
Far
(920) 236r5084
Plumbing Permit Application
I h ebyapply a to do sal install the following plumbing o the MEANS
W State g in ofwl ich an boned by mid
• Appliestien(s) and fee(s) a�m
be brosghtso City Ball, Roan 205 eir mailed to Inspection Services, PO Box i
X 54903
is �� Wodr without p�et(s) will remit m fees being doubled a 8100.00 O� WI
*sate normal permit p t fee, Wig
OR
if you grat aki rocesred tkrog k vo scr acc ('1
-Far
Advisory apc per, and
C �at�ton
or (� form, si�dbtthe Electrical - with the :6yffie
edo�o
processed forPandt lasnance and will be rammed ltaor + t mtbe
.
Job Address
�s r
v ___ alue
Nehmen amacalgL. la Date 111 51 if
- c ontractor n I'l u n •
Number of d:
Shower SW Simid'emp -_ Sculley Silk
ii
wlerscam Sevin stet CodeslArr
Ly RAC
Su boor Way te Waft aid
Utiliser
Mimed Bar
Ise Met
Sick RTZ Qum Ihex�
>>iehw,ebtr &aim s a
Mkt bit GamaBap
Motto sink Died
scan. Thip
Deer
Weer Baser Mop SW
_ Dapper Wall _ /OAS 0 SW 0 PwrYat floor Dedreclteao�
Dim
Gimmes War Br Sim _ Mr Omer Mr
w�. 1►et
bt
Lab 9
Cilch Sarin
-_ Woo
PSoaea
Electric Cdr (for project; not requirig an Eiv Form)
Use / Nature of Work
Size Materiel lhe # Caw Type
y sewer
Stain sewer
Way S .
Received Time Jul, 18. 2011 9:54AM No, 6360 04/09