HomeMy WebLinkAbout0157939-Plumbing (water service) � CITY OF OSHKOSH No 157939
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1725 IOWA ST Owner DAVID A/JENNIFER L WILSON Create Date 09/26/2013
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 Fir/Wst Sink 0 Bidet 0 Site Drain 0 Misc. p
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 Weil 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 SFR/replace water service
of Work
�'*debit acct"
�
i
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service 1" Plastic Lateral 1 New
Parcel Id#
1404470000
Valuation $1,000.00 Plan Approval $0.00 Permit Fees $50.00 ❑ Permit Voided�i
Issued By _ � �- Date 09/26l2013
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.
Ciry of Oshkosh
Inspccdon Scrvic�s Division �
P 0 Sox I 130 �
Oshkosh,W!54903-1130
Phonc:(920)236-SO50 �
F�c:(920)236-5084
oN r►+K wnTEe
Rlumbing Permit Applicatilon
1 hereby apply for a permit to do and i�tl thc Following plumbing on thc prerruises hereinafter dcscribcd,thc wark to conform to thc :
Wisconsin State Plumbing Code,in the performancc of which all parties hereto agtcc to aod are bouRd by said statutos.
• Applicallon(s)nnd fee(s)can bc bronght to City klall,Room 2�S or mailed tio Inspecbon Servicces,PO Box a 128,Oshkosh VYI
54903-1128. Commencing work witlmut permit{s)will tesult in fees being dwblcd or 5100.00 plus d�e normal pernnit fee,which
cvcr is�r�acer. �
OR
If ti�^u are a con�rac[nr narticipatinP itt ihe Perini� Fee Accoun� Svsl�►n and have adeouale tunds. check hei'e
�vo� wa�� lhis bt'oce,y�gd throvgh vo�r ounl n
**Advisory-For�ppUicabXe�ncojecxs,an Electxical Installation Vcr�fication(E���oxm,si�ncd by the Electnieal .
Con�actor or Homeowacc(far imstallations alloa►ed to bc pc�o�ed.by tbe hon�eowner)mast be subnouitoed
wit�the petx�t a�lacation. Applicatio�s sab�naittcd without en EIY whe.rt�snch i.4�c�uired,�1 not be
�rroccsscd for Ptrioauit�nac an�d w�l be retarned fox'co�nplction. � ,
� G
Job Address 5 vJ� VSIUC(Indt�dinat�bora�xi maccielta) ,1 D U� .� Date / � �
Owner 1 ]4�i� w� 5� Contractor �
�]Sieglc Fnmiiy ❑rinplex ❑Multi-FAmily ❑Rental ❑Commcrcial ❑ trigl
Namber of Fiu�ta�s: -
Bn�hwb Sump Pump Pl�sta Sink RoofTAw+n
StN►wor San.SumP/AmiP 5cutlay Smk Sods Disp
whirlpix►I Wata Softrn�or 3crvico Sink Cof)�Ln Mlrr
Lovawry Starnlpipo Rec Shamp 3ink Site Drain
Toilm dnrel�FD Sargeats Sink Waihs Sfn
Kit 3ink k.oc91 Wa9k Stcrilizer �cc Chaat
. pisposel B6rc S'tnk RP"L Valve Gomm�ee Meker
Dishwasher Birslum 9irdc Bidct lnl Grco'.�e Trop
Floor pnin Claetam Sink Urirod E�cc(�rensc Trap
Elas�Btbb Exam Sink Hecr Tap fiyc Wsah Sln
Water Heohx F Pre�Sink Dippet Well beduct Mdv
0 c�aa 0��a��v� Ploor Sirsk Drink Frtm Wtr Sswar Ma
Clathm Wshr Hand Sink ' . Wn,gh 1?nai •. Wtr UnAge MU
�dry T�y Lah Sink Cncch Basin • Miac Fiztta�cs
Electric Coatractor(for p oje�cts not requiring an EIV Form)
Use/Naturc of Work ,�
Sizc Material Typc #_ _ Conn.'I�pe -
Sanitary Sewer
Storm Sewer
Water Service
06/09