HomeMy WebLinkAbout2013-Plumbing (2 water heaters) � CITY OF OSHKOSH No 157947
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 222-226 E TENNESSEE AVE Owner WILLO HOUSING CORP Create Date 09/26/2013
Contractor D.R. HANSEN PLBG. Category 446-Commercial-Water Heaters 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. 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
Fioor Drein 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 2
Use/Nature COMM/replace water heater at 222 and 224 :
of Work
"'debit acct*"
�
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1506380000
Vatuation $1,200.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided'I
Issued By �� Date 09/26/2013
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work :
described in this permit application within an easement,the City strongly urges the permit applicant to contact the
easement holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address 55 KNAPP ST OSHKOSH WI 54902 -3448 Telephone Number 233-1595
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Inspextion Servic,�s Division �
P p Box I 130 �
Oshkoah,WI Sa903-113Q
Phone:(920)236-SO50
Fax:(920)236-508� O �..�(O �
i n�
UN TME�/ATER
Plumbing Permit �pplication
1 hcrcby apply for a permit to do and install the following plumbing on the premis�s hcreir�after dcscribed,the work to conform to thc
Wisconsin Sffite Plumbing Code,in the per,formance of which a11 partics hcrcto agru to and erc bound by said statutcs.
� Applicetion(s)and kc(s)can bc brought to City Hall,Rnom 205 or meiled to Inspection Services��O Sox 1 I28,Oshkosh WI
54903-]128, Commeneing woric without pamit(s)will result in fie�being doubled or S I 00.00 plus the normal pennit fec,which
evcr is grr.atcr. �
OR
��,_,q!_'�a_c_o_nlraclor��p,�{,�i.��in lhe Pernri! Fee .4et ►t[ Svslem on¢,�gve adeqrrale furtd,�,"che ere
i1'vou w�al [hra_nroce.csed thrg�gh vour accovnl ,[�
**Advisory-For applieab�c�tojeds,un Eleetrieal�sta�lation Verifica�irnti($�Form,signed b�tb�e klectnical
Co�ractor or Homeowna�(�q�r i�fstsXlations allowcd to be�pr�rnomed bp thc boxueowne[')mnst 6c sabmitt+ed
witL tt�c panauit application. App�icaLions snbmitted wxthont an IIV when snch�is req�tured, w�71 not bc
pxocessed for Peimit Lzcnance ani�!vv�16c retmrn,�d fo�r eo�mpletion. , .
.�ob A,ddress � � I 2 e Valae(��o�ueing�,bor�d�ce;�A ����•U� Datecl 1�
OwnerCe r 5 Contractor � .f� . Ch vYYl��h !��',
�Singl�Fflmpty ❑Doplex ❑Il�a�t�-Family [�Rental �l]Commercial ndnstrial
Nontb�r of Fiu�tures:
Balhtub 3ump I'��mp Piaster Sink Roof thsin
Showct Snn,SumD�1'umD Scullrry 5ink g�p p�p
Whidpool Wata SoRena Serviec Sink Coflce Mfcr
�"�ID�Y ��Pil�R� Shnmp Sink 3ite Drnln
Tnilet " GernRo Fp SurRCOns Sfnk W���
Kii Sink Loeal W:�atc :�Yd11iZG' Icc Chcs[
• � B�`� RPZ.Vp(ve Comm Ice Makcr
Di.ehwoshcr Brealmn Sink � Bidet Ird Grease Trep
Floor Dmin Clernarm Sirrk U�innl Ext Cueatc Trap
Hnae 8ibb 6xan+Sink Becr Tap Hyc Wach Su+
Weler He�hx f� F Prcp Sink Dlpper Wel� Dedua Muer
J�Gse❑61eiY f.l PWrVnt Floor$ink prink F11N WU Scwer Mu
Clotlxs Wshr 1•land Sirtk ' . Wa�h Fntn ', • WU Usage Mtr
Lnd7'T�Y Lab 5ink Cncch F3,isin � . Miec Fixa�rea
Eleccric Co�nt�ctor(for projects�ot requiring an ��V Form)
Use/lvature of Work
Size Matatial Typc #. _ Conn Type '
Sanitary Sev�rer
Storm Sawcr
Watcr Suvice
06/09