HomeMy WebLinkAbout0155715-Plumbing (water heater) � CITY OF OSHKOSH No 155715
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
JobAddress 215 W 20THAVE Owner CONVENIENCE STORE INVESTMENTS Create Date 05/20/2013
Contractor D.R. HANSEN PLBG. Category 446-Commercial-Water Heaters Plan
Inspector Jerry Fabisch
Bathtub 0 Clothes Wshr 0 Classrtn 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 FIr1Wst 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 Grease Trap 0
Floor Drain 0 Bar Sink 0 Serv Sink 0 Wash Ftn 0 Ext Grease Trep 0
Hose Bibb 0 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 1
Use/Nature COMM/installing a water heater at Kwik Trip
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1410110000
Valuation $2,000.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided I
Issued By J� Date 05/20/2013
In the performance of this work, I agree to perform ali 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 pertortned within two business days from the time the project is ready.
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1nRpe��tlon Setvtcts biviaion �
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oshkosh, oVI54903-1130 �
Phane;(920)236-SOSD �
Fa�c:(9'�i0)236-5�84
AtEK �
� . Plumbing Permit Appl�cation
I hereby app�y[or n pav�;�t�do and irGS:ai(che fbllo�ving pl�r,�bing on the pt���hvt�atla de�cri�Cd,Lhe�,,ork ro coltform m tho
11�'Isconsfn S�ntc Plumbing Code�in tAe performar,��of whic6 all panies here�p apne te�and aze bou�d by sa,d.stat�aes.
� App lication(z�and£ve(a)ctin b�brought tn City F[a11,Room 205 or meiled tn Ins oction Sarvi
54y'103-I I28. Commce►:�ng work�vithotrt pernr;i�(s)will re�ul�i,fees belt�g dovbl�er S100.0�1 s the normal�erml�f�e,wh,ich
aver ia�aacer,
OR
!f tinu ure n s,��racle� ��*►lc�na
n
�c�tLL�t rocessA� thr°u�h Y.��ce_u;rt �1 ua! ��r� .
*'Advisory.Fo�app�icable pirojerts,a.n Elecmical Iffitalladon Yerlflradon
Contxaccor or k7�meowqr.r(for foascallations a.t]awrd to bc pc�cd yT tbc h�mcowucr)mu�at��ab�+itt�c�!
��th the�ft a�p�ic.ldon, Ap�1{c�tians sa6mfttcd wit$oat ffit BXYwhen sad��S
proccssed;far Pexmit�e����d�y� be xe�tu�ed fot ��� W'�°0t be
� �omplction.
Job Address�-� �J � � Yalqe�dua�e meora m. ,h 4 D. (f lj �I�'D �3
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O�rner r� Contractor � '
C�Si,�glc k'am11Y CAupl�ac �lylql�FAAIII
Y ❑Rc�tat []Commerci�l QInd
Number of Ffx�tures; -
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ioc C;hest Uritml
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Exem SMk
Rcs,SInK .�� Wo?a Soltna `� .—..._ Cv,Lkaia ,
HerSink LocnJ Wnm ScolrySJak .._..� Sade disp ��
u'AIG'MpntC HARII Smk CulTee Makar
ClO�hot VC�hr F PrOp Sink
::Gv,�Elecr J P►rrVm '��— Caa�m.ke Mske
SRowet 8idct Sen�4�nk
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Floot Dnl�n 9ccr'l1Ap tnt C}a►ee 1'rap Ruuf Anin
�r� "`� Clnt�m Stnk �.ti Gtase Tnp —,.—^
� 9ur�ns Sick —..—. , ' 9tmdp Reo
lab5lnk - RP.Z,V�hc. '
'�'— Breq�rm Slat --"- �W�erA Stn �_
PlamtStnk ---,- �m►PSlnk W�r3�rerMhs
Sien7izer ��~ �tVdl . F1riWn Slak �� Geduee Mei�,s _~
' Nose IIi� '
t�['a�. Wtr U�e Mas
F�7m1^GS "`•'•�
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Electric Contructor(for project �ot reqniriag�n EIV F'or�m
Use/Nstare of V4ork �� (�
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� S ao Me�crinl •rypd #
, Snnlr�lry Sewer �u�.'fype
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; Stotrn Scwer ,
i ��ater S�,-�ce � :
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