HomeMy WebLinkAbout0155339-Plumbing (water meter) �
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� CITY OF OSHKOSH No 155339
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2519-2527 BOWEN ST Owner ANCHORAGE REALTY INC Create Date 04/30/2013
Contractor HANSON QUALITY PLUMBING Category 443-Commercial-Interior(Replacement Fixtun Plan
Inspector Jerry Fabisch
Bathtub 0 Clothes Wshr 0 Classrm Sink 0 Surgeons Sink 0 Roof Drain 0 Deduct Meters 0
Shower 0 Lndry Tray 0 Exam Sink 0 Sterilizer 0 Soda Disp 0 Wtr Sewer Mtrs 0
Whirlpool 0 Sump Pump 0 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 1
Lavatory 0 San Sump/Pump 0 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. p
Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. � Fixtures
Kit Sink 0 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest 0
Disposal 0 Gar Drain 0 Plaster Sink 0 Dip Well 0 Comm Ice Maker 0 :
Dishwasher 0 Local Waste 0 Sculry Sink 0 Drink Ftn 0 Int Grease Trap 0
Floor Drain 0 Bar Sink 0 Serv Sink 0 Wash Ftn 0 Ext Grease Trap 0
Hose Bibb 0 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 0
Use/Nature OMM(2521)/REPLACE WATER METER "�check#15289
of Work
— �
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1524830000
Valuation $100 0 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided I
Issued By Date 04/30/2013
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 550 N BLUEMOUND RD APPLETON WI 54914 -5748 Telephone Number 730-0205
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
Inspecdon Services Division �
POBox1130 �
Oshkosh,WI 54903-1130
Phone:(920)236-5050 O���O��
Fax:(920)236-5084
ON THE WATER
Piumbing Permit Appiication
I 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 mailed 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
If vou are a contractor varticipatinQ in the Permit Fee Account Svstem and have adeguate funds check here
If vou want thts processeci throu�vour account n
r� �! d r '� / ^/�
Job Address� 5 °� � �J 4(,�/•P-� J � V alUe(Including]abor and matenals ��d - Date
Owner ��SS (v; //�Q�r� c Contractor `' ^�' � . ��
❑Single Family [�Duplex OMulti-Family �Rental �Commercial []Industrial
Number of Fixtures:
Bathtub Disposal Drink Ftn Catch Basin
Whirlpool Dishwasher Wait.St Wash Ftn
Lavatory Sump Pump Ice Chest Urina]
Toilet Ejector/Grind Exam Sink Gar Drain
Res.Sink Water Sofiner Sculry Sink Soda Disp
Bar Sink L.ocal Waste Hand Sink Coffee Maker
Water Heater Clothes Wshr F Prep Sink Comm.Ice Maker
❑Gas 0 Elect❑PwrVnt Bidet Serv Sink Site Drain
Shower Beer Tap Int Grease Trap Roof Drain
Floor Drain Classrr.�Sink Ext Grcase Trap Stand Rec
P
I.ndry Tray Surgeons Sink RP.Z.Valve E e Wash Sfi
Lab Sink - Y
Brealom Sink Shamp Sink Wtr Sewer Mtrs
Plaster Sink
Dip Well F1dWst Sink Deduct Meters
Sterilizer Hose Bibs Wtr Usage Mtrs
Misc.
Fixtures
Electric Contractor OR �Electric Installation Verification form attached
(If Replacement)
Use/Nature of Work I -Q � �- `�..P ,�..P
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
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