HomeMy WebLinkAbout0155536-Plumbing (RPZ) � CITY OF OSHKOSH No 155536
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 902 TAFT AVE Owner HJV INC Create Date 05/08/2013
Contractor D.R.HANSEN PLBG. Category 442-Commercial-Interior(New/Relocated Fi�ct� Plan
Inspector Jon Mueller
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 0
Lavatory 0 San Sump/Pump 0 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. 0
Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. 0 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 G�ease Trap 0
Floor Drain 0 Bar Sink 1 Serv Sink 0 Wash Ftn 0 E�ct Grease Trap 0
Hose Bibb 0 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 0
Use/Nature �Marina!Install RPZ per Hydro Designs survey for containment.
of Work
Size Material Type # Conn.Type :
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id# .
1608060000
Valuation $800.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided!
Issued By ��� Date 05/08/2013
�
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
AgenUOwner
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.
c;AUQ; �;_,_!�u� �c: ur�n in�ra<< ion spr�•iCCS -A. Y:�� ��. ,
lnspc:.tion Scrvlcas Div(sion
P O�ox 1130 �
oshkosh,a+I54903-1130 .
Phone:(920)236-SO50
f ax:(920)236-5084
/1TER
� .Plumbing Perr�nft Applfica#iqn :
I heraby appiy for a pcxmit tc do and ir�s;a11 t�e foilowing plunbing on th�ptorulses heteiiaafter dcstribcd�tht wo�k ro conform to tho
W isconsin Swtc Piumbing Code,in the performanec of whicfi all part{es htteto agroe to�and are haund by said staMes.
• Applicatron(s�a�d fea(s)ran be breught to City Ha.li,Room 2p5 or matle�to Irtspoctioa Sarvias,PO 8ox 1128,Oshkosh Wl
54903-I 126. Commcncing work witbout permic(a)wil(roxul�ia fees beiag doubled or SI OO.OcI�Slus the normal pettnit fbe,which
eve�is�aeter,
OR
��vou urm u�aei��eroL�nrttc/n.q rm11�'ee Acaount�r�tem pns� Aave adrQWat4 1'unds,,,�c�,Re kare
I p 1
**.4dv�sorp.Fox appl�eable pcojecta,an Elecer�e�l i�stalaadon Vtr{flcatton(E�,foffi,s�lgia�ed b}►t3�a Electrica!
Con�ractor or�qmeow�acr(for inastanaxioaa atiawed to be pc�fozAacd b7 the homeowncrj mnst be.�.ba�itted
w#t}►tho�em�f��,lic�doa. l,ppl�catioa�s submficted witboat aa BYY when sc�ch is tcqa�ed, wfit aot be
proccs,sed for pexmit Iseaanca and wi�be z�ed for oomplct�on.
Job Addresg a�01 Tq�� Q IrQ„ Yalae�raa�ams r�eaa�e � � p� s � �
Ownar �,A�1' /'!n5 Contractor t/l►'I� �
❑�iuglc l�'muiily �lnupleac []Malti-Faroily Q[Zcatal
(�CommercSal QIn �
Plumber of Fixtures; �
9�Wn�a ���:
larink fu� �,�
Whlrlpool AieD+Y��M " N%�1�.St W� Wa�h F1n ..�
LAVatar�' Samq Pump ioc Chast � Urirmi I �
Tolict F,kcfoyqind cxam 5Mk ,_,_ Ca�r,Rroin
Ra.Stnk Wu!a5clber 5oalry5fnk � �, �
BerSink �� ����°
La�1lVasr: Hand 3ink Calree Makar
Waror►�,e�r • Clocha a��+r F Prcp Sink Comto.ke Malttr
;:Go��fi}ect J PwrVrtt ""
�'��� Sarr Sink
ShOa�rr &CrT�p •- —. Sf1eAlRie :
floorAtem intC��Trap �.._ RwfDnin
C�er.em Sl�k 6,q Gre�ae Tnp , ' 9tandp Ree
, �+M�Thiy 5urgeaps Slak '
Lab SGak ' RPZ Vahe �.. Era WecA Sin
g�°�$� 5Lan1p Slrtk �y
Plu[er Slok �5ew�r MnJ
s�a,i� � °c�w� . _.___ Fww�sroic r�,a M� �
r[�se D�bs
i�tis�. wv UF.gS Mrn
Fi.au:es ,
Eiactrie Contrnctor(for projetts not rcqtl�riut ren EIV Foxm)
Use/NaturcoYWork n5��� �Qf�•Q
• Slze Me�.erlaJ Typc # Cofln.Type
sanitnry Sowc+r
i (; Stptm.r+�wor -
! I
j �yBL@C SCItiICC
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