HomeMy WebLinkAbout2013-Plumbing (2 water heaters) � CITY OF OSHKOSH No 157946
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 216-220 E TENNESSEE AVE Owner Create Date 09/26/2013
Contractor D.R. HANSEN PLBG. Category 446-Commercial-Water Heaters Plan
Inspector Jon Mueller
Bathtub 0 Ciothes 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. p
Toilet 0 Water SoRner 0 Hand Sink 0 Urinal 0 Wait.St. � 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 B�eakrtn Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 2
Use/Nature OMM/replace water heater at 216 and 220
of Work
*debit acct"*
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
Valuation $1,200.00 Plan Approval $0.00 Pertnit Fees $30.00 ❑ Permit Voided'i
Issued By �71�►�. 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
Inspecdon Services Division �
P 0 Box 1130 �
Oshkosh,W154903-1130
Phone:(920)236-5050
Fax:(920)23f�5084 I �
i
oN rr��wnr�a
Plumbing Perm�t �pplication
1 h�reby apply for a permit to do snd instafl the following plumbing on the premi�es heiroinaRcr de�cribed,the work to conform to the
Wisconsin 3�e Plumbing Code,in the performance of which al)partics hereto agree to sod are boued by said stattrtes_
• Applicatioe(s)and fcc(s)can be brought m City Hall,Room 20S or meil�d to lnspcction Servico,4,p0 Box 1128,Oshkosh Wi
54903-i 128. Commcnoing wotk without potmit(s)will result in fecs being doubled or SI00.00 plus thc normal permit fec,which
ever is greatcr. .
OR
11 vorr are c con[rcclor par[icina[rn� ir� ihe �ar►rii[ I%ee Accor��l .sy_s1_enr a�rd ho�+e adequale tund� chesk here
�voa wan[ Ihis nrocessed�rou�h vour accog�l n
'�'t Advisory-Foa'applicable pmjects, �a Elec�ical�ust�IIation YcriEcation(LT1��oona�, signed bp the Electx�ical
Coatractor or$otpeowner(for in.�tallations allowcd ta be p�rformed by f�e homeowt�e�r)must be snbmitted
w�id�the pe�it a�rrplaicat�io�a. Applications sabmitted witl�o�aua EN whc,n snc.��is reqn�ed,w��aot be
processed for Permic ce and will 6c r,�ttapaed for com�lcdon�. .
Job A,ddt�ess� 6� � e VaIUC(Including Inborand mataiale �600.Uv Datecl 1�
Owner�e� f 5 Contractor � .�. GH v!'►'1(��1L ��'.,
❑Sing,�e Family []Aaplex �Mniti-�'a�ilY �Rent�1
�i]Com mercia 1 Indu$tt�ial
Namiber of F'rxturc.s:
Batlt,� SumP�P PIAa�c Siek RoofDrs;n
Showa San.Sump/Pump Scullrry 5ink Sodn Disp
Whirl�MOl Watv SpftmiCt Serviec Sink Cof�m Mlr�
Gawriory SwrdD�P�Roc Shamp 5ink Sne pr,�in
Tniltl �,,,, ' GxraRo FD Surgcons 5irdc Waitrs 31n
Kit Slnk I,ocnl Waste Stailiza Itc Ch�el
� � Bar Smlc RPZ VNvc Comm Icc Mnkcr
p��� Brwkrm Sink Bi4d Int Crre�pso Ttap
Flc+or[kain Clossrm Sink prin.�l Ext Grca.tc T�p
Hose Blbb Gxom Sink B�T� ��W�S�
Wnter Heohx � F Prep Sink DiPper Woll Dedua Macr
�GHe 0 Eleet tl P�arVnt Floor Sink Drink Fntr�
VNU scwcr Mu
Clothea W.dm Flend Smk ' . Wosh Enln : •
��� wor Usage Ma ,
Isb Smk Gntch Bnsin . Mlst flxtmrs
Electric Coetractor(for projects not requiri�g�n EN Form)
Use/Nature of Wo�k
S� Matorial Type �l. _. Conn. Type - :
Sanitary Sewcr '
5tortn Scwcr
VNatcr S�rvict
06/O9