HomeMy WebLinkAbout0156586-Plumbing (laterals) � CITY OF OSHKOSH No 156586
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD .
ON THE WATER
Job Address 2240 W 9TH AVE Owner PAUL ANDERSON Create Date 07/08/2013
Contractor D.R. HANSEN PLBG. Category 401 -Residential-Exterior(laterals) 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 FldWst Sink 0 Bidet 0 Site Drain 0 Misc. 0
Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. Q 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 FR/install sanitary sewer and water laterals **debit acct
of Work
Size Material Type # Conn.Type
Sanitary Sewer 4" Plastic Lateral 1 New
Storm Sewer
Water Service 1" Plastic Lateral 1 New
Parcel Id#
Valuation $10,000.00 lan Approval $0.00 Permit Fees $100.00 ❑ Permit Voided
- --___ - —
Issued By � Date 07/08/2013
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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
inspcction Scrviccs Div�sion �
P O Box I 130 �
Oshkosh,WY 54903-1130
Phone:(920)236-5050
Pax:(920)236-508q O �((l u ;
i n�v i i
Plumbin Permi# �N rHF wnrrh
g qpplication
1 hercby apply for a permit to do and install the following plumbing on the premises hercinaftcr dcscribcd,the work to conform to thc
Wiseonsin State Plumbing Code,in the performancc of which all partics hercto agrcc to and arc bound by said statutes,
• Application(s)and fcc(s)ean bc brought to City Hall,Raom 205 or mniled to Irtspection Services,POBox I 12R,OshkoSh Wi
54903-1128. Commcncing work without permit(s)will result in fees baing doubled or$100_Op pluc the normal permit fee,which
cver is grcatcr. .
� OR
If vou are a con�rQClor oarticiaalinE in the Permit Fee Accor�nJ Svs�em and have adequa[e funds check her e
rf vo H�an! lhis Dro essed 1hroHe vorir a co !
**Advisory-For applicable projeets, �Elec�ical ImstallaLian Veiificatioa(EI�form, signed by tbe E1ect�rleal
Cvmt�ractox or�omevwmez(for nastallatxo�as�owed to be pexfotnaed by tlae homeowner)mnst be sabmittcd
wi�th��enanit app�icatiiom. App�icat�io�ns sa.buoattcd withaat an k�V w�e�a snch is xequnred, �r�l,not be
processcd for Permit Issuance and •bc retumed for completion. a ,
Job Addr �'� v'W �� �� /►
V$�UC(Including labor ma ' v) �� �g� / /
Owner � ,7 Contractor • 1 �- � /� (,►�1 /1�,
� �
�]Single.Fsnn�ily ❑ plex ❑Multi-Fsmity []�tental CommerciAl ❑Indu 'AI
Number of Fixtux�:
8aduub , $ump Pump Plaala Sink RonfT)nin
5howcr __ 5nn.SumpR'ump S�ullcry Sink Soda Disp
Whirlpoul Water Soitmer Savice Sink Cuffec Mkr
Lavatory Scandpipe Rcc Shnmp Sink Sitc Urain
Toilct Garagc FD Surgcor�,v Sink Wnirt,a 9m
Kit Sink Local Waslc S[ertlix�r Ico Chaat
• nis�xti,axl Bnr Cink RP7.Velvc
Comm Icc Mnkcr
pighwi�her Brcakrtn Sink [3idct Inl Crrcn.qc Trap
Floor Drain Claaartn 3ink Urinal Gxt Gre�sc Trap ,_,_,_.,,,
Hosc Bibb Exam Sink Bccr T:y� F,yc W�,th Sm
Wnter Hcetcr F Prcp Sink DiPPa W�II Dcducl Mcicr :
lJ(}4 U FJect r_I PwrVn1 Floor Sink Drink Fnm Wcr Sewer Mtr
Clothcs Wshr Hand Sink � . Wash En�n �. Wlr U+aagc Mv
l.ndry TrnY lab$ink Cefch Basin , Miiac Fixturen
Electric Cootractor(for�rojects not requinin�aior EIV Fox�c►)
Use/Nature of Work `7 �� S��1 S r �i� �� ��
Size Matcria Type #„ „ Conn.Type ;
SAnit�ry Scwer
Stonn Scwcr
Water Servicc
06/09