HomeMy WebLinkAbout0155824-Plumbing (3 catch basins) /�'� CITY OF OSHKOSH No 155824 �
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OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD �
ON THE WATER 5,3(�-/� La.1 '
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Job Address 100 CITY CENTER Owner HOTOVEC LLC Create Date 05/28/2013
Contractor D.R. HANSEN PLBG. Category 445-Commercial-Exterior Other 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 >
Whiripool 0 Sump Pump 0 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 0 San Sump/Pump 0 Fir/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 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 3 Eye Wash Statn 0
Water Heater 0
Use/Nature Replace 3 catch basins
--------- --- - --------- ------ ;
of Work
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Size Material Type # Conn.Type
Sanitary Sewer
�
Storm Sewer
Water Service
Parcel Id#
0100600000
Valuation $6,000.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided �I
Issued By Date 05/28/2013 ;
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.
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� CITY OF OSHKOSH '
� No 155824 :
E
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD f
ON THE WATER
Job Address 206-212 ALGOMA BLVD Owner REG DOMESTIC ABUSE SERVICE INC Create Date 05/28/2013
Contractor D.R. HANSEN PLBG. Category 445-Commercial-Exterior Other Plan
Inspector Jon Mueller s
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 FIrIWst Sink 0 Bidet 0 Site Drain 0 Misc. p
Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. p 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
Fioor 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 3 Eye Wash Statn 0
Water Heater 0
Use/Nature eplace 3 catch basins
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0701280000
Valuation $6,000.00 Plan Approval $0.00 permit Fees $30.00 ❑ Permit Voided �
Issued By Date 05/28/2013
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 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.
inspcerlon 5Cl'i�lCds 17Iv(SI011 . .. . . . . ,. . .n:. `�:��r, i ;
POBax 11�J0 �
�shkosh,W[54903-1�30 �
E�hone:(920)236�Sp50 �
f�x;(920)236-SQ84
' . Plumbing Permit Application rEN
Z horeby apply for a permit tc do end ins�.al(t�e folto�ring plunbing on the premi3es b,erei��{�dcs�r;
Wisconsin Statc Plumbing Code�in the performancu of whicfi a(!periks hqet�ap�e to and are ho�d by e.,d csc��eg,���0
• Applicntion(s�and fee(s)can bc bre�tghi to Crty Hall,Room 205 or meil�d t� ectioa Sotvi
54903•11�6. Commcncing work�vithotrt pern;ic{s)vrill r�cult i�f.eos belag doubted at SI OO.OQf p(us t!x norrna8pert�h fbe,which
tve�r is gresccr,
OR
��'yeu .rc a ��,..,.....r�. ,,..�iclnatl�o 1n 1he PerM/t Fe��,�Qu�r v t
�t vuu wnn< <h.rt p • ! ,» " •� s�e_,qaf�Okof`fivnd.t. ��
p,r ces,�ed ! ro�gh vos�,r cc-ei,rr ^
**Advisory•For app�lcab�e p�rojccta,an Etectrical IQSW]adon darlflcat�on
Contraetor or Homeowaer(�or i�nstailatfons ailowed co b� �'�f°ffi'��b7'�e�1ec�ica!
w�th�tl�o rrrnlc a 1�cadon, �ormed'brthe ho�cowncc)�nnnat bc aabmhtcd
A PP ' A�t�c�tt�vns s�bmitccd w�ont sm BZY hen s�a�clt ia zc�aei,red, w71 not'be
�xocessad for P�xmit 7ssuaace and wiII be retumed fox co�prpletioa. �
Job Address Q 6 Ysaae�tsa�a;�e��o�a�a m�+ � � (/� � 3
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d�rner n1'� r. �Coatractor �
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Y (]Rcntall QCommeTCfal []Indugtrlat
Nunaber o!'Fi�etures; ,
9ethmb A�o�;
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Tolla i�Chast �� V�
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LocN Was� F1�nd Sink
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g���s� —.._.. Eqe WmA►5te
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9�eri1�2or '~� �a Well F1L'W�Slek ��_ --�
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Elrctric ContrACtor(for ojett�not reqti�t�g�an EIV F'o
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Use/Nature of work ,
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I5enitsry Sawer Conn.'1'ype
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