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HomeMy WebLinkAbout0151765 - Plumbing (replace dishwasher) CITY OF OSHKOSH No 151765 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 409 ALGOMA BLVD Owner SANDYS OF OSHKOSH INC Create Date 08/17/2012 Contractor D.R. HANSEN PLBG. Category 443-Commercial-Interior(Replacement Fixture Plan Inspector John Zarate 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 1 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 COMM(HARDEE'S)/REPLACE DISHWASHER **debit acct of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 0102080000 Valuation $300LOC. Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided C J1 ► 1 Issued By Date 08/17/2012 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. City of Oshkosh inspection Services Division p O Boat 1130 Oshkosh,WI 54903-1130 Phone:(920)236-5050 Fax:(920)236-5084 _ ON Pia WATER Plumbing Permit Application I hereby apply for a wit to do and install the flowing plumbing on the premises hereinafter described,the warkto corm to She , Wisconsin State Plumbing Code,in the perfinmance of which all panics hereto egret,and are bound by said statutes. • Application(s)and fee(s)canbe bumghtto City Ball,Room 205 or mailed to Impectian Services,PO Box 1128,Oshkosh WI 54903-1128. Commencing via&without permit(s)will Temkin fees being doubled or S100.00 phis the normal pe mit tee,which ever is greater. OR If YOU ate a eontrgaer,Partta • ti a Pe ai it ee-. i -J t , .: q If you want ail processed thrpuris wj r_ac t --Advisoxy-For applicable projects,anBlecdoic a1 Installation Verifitation( IV)form, A Electrical at _ (£ allowed to bepe dbY.t :: be the permit application. Applications sl f 9 ' y _ is ,wi . with host be processed l for Permit Tasoan=and will be radiated for completion. , , Job Address LoA Al 'Ciw6 Value( sgiwans.wi )_ 30).a`' Date S`14,11 a owner Na+dt_ contractor t,Z. Rare fr► 'PI i n 1. Osingle Family CIDnplen DMniti Fondly nut Olndinttial Number of Fixtures: Tholinib sir ► Plaster Sink BoofDrnin Shower SA. Scullery$mic StaiD trP vm;rtpoo+ Weimer fie' Service Sink Coffins Mks Lavatory Standpipe R Site Drain Toilet Garage FD . Surgeon!:Sink W sat Kit Sink toed Waite sm��sr I=Oast > teSinr Rrzveta Tee Wier Dishwasher _i__ Bred=;rte B lot Oirese Map Moor Drain © voiat >3,a Grease Trip Hose Bibb Rains Sink Bye Weer Hest F Prep Sint - ' - Dipper Well DedactMeler o c O S_ a vet Floor stale Drink Bei .- - -.- -Vie Sewer Mir clothes weir.., .. Hand Wash _ Wit U e� lar ye 1213 Sint - c Basin Wise Electric Contractor(for projects not requiring an ElV Form) Use/Nature of Work . Sire Malmn1 Type # - - tom.Type Sanity Sewer Sty Sewer Water Service ` 06/09 Received Time Aug. 16. 2012 2: 38PM No. 0463