HomeMy WebLinkAbout2013-Plumbing (2 water heaters) � CITY OF OSHKOSH No 157945
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 210-214 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 Vaive 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. � 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 2
Use/Nature !COMM/replace water heater at 212 and 214 �
of Work
""debit acct"
:
,
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Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1506380000
Valuation $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
Inspection Scrvic�Division �
P 0 Box I 130
Oshkosh,wt sa903-I 130 �
Phone_(920)236-5050
F�:c9ao>�s-sosa � H
Rlurrabin Permit �N�E WA7ER
g �pplication :
i hereby apply for a permit to do and install the foliowin�plumbing on thc premises hercinaRer describcd,the work to conform to the
Wisconsin 3tate plumbing Code,in cb�perfarmance of whieh all parties hereoo agree to and ate bound by said stanrtes. :
• A{�plication(s)end fec(s)can bc brought Eo City Hall,itoonn 205 or mailcd to inspection Servicxs,PO Box I 128,Oshkosh Wi
54903-1128. Commencing work wiNxwut permit(s)a►i11 result in fecs being doubled or�100,00 plus the normal permit fee,which
evcr is greater. .
OR
If voa are a conlrat[or parlicieatln� in the Per il Fee dc�olfll,t�S, slenr an hnve adegKy��e�'unde. cl�eck„h,e�e
Jvorr wanl �his�tocesaed Ihrovab vour o�,��unl rl
"*A,dvisory-For appUc�ble projecl�, a�u Elec�ical�nstaQation Veri6cabion(ENj form,s�igaed by t�e El�c�ical
Coe�tra,cto�t or Flomeowp�ex(for installadon�s ailowed co be�exformcd by the blo�ooieowncr)mnst 6e snbmitted
witi�the petmit applicatiion. Apglications snbmitted wxthont an EN wl�c�o�sncb�s ra�ed,�v,�i not be
�t'ocessed fm�Pcrauic�SSUance aad wx'U be retaincd�o�coutpletion.
��a-Z�Y � 3
Job Address �. e Value p�������,a���a ��00.Q� Date
OweerCe r 5 Contractor � .�. G1� uY!'l(��11 ��'
�Sin�le Family QDnplc� �Multi-k'amily []Rental
JX]Cemmercia! dnstnial
Number ot Fiactures:
Be� S�P�P Plaatc Sink Roof Drein
3howcr 3ae.Sump/Pump Scullery Sink Sl�a Disp
�i�� W�a"��� 3eNlee Sink CoA'a Mkr
Cavaiory 9taendpipe Re.s Shamp Sink Stte Dra6i
TOild � (iurtl$e FD Sur�yenn.v Cink WBitrs Sm
Kit$Mk l.ocal Waste 5teriliul la ChcsL
• �SP�� Bar Slnk RPZ VelvC Comm 1ce Meku
D1sMvesha BrraJcrm Sink Bidd Int Gr�e'hap
Floor Drem Clsurm Sink Urieud �G„��
Hos�Bibb Exem 5ink Bccr TaD Bye Wosh Sln
Wrta Fl�ta � F Ptep Sink Dippet Well Deduct Metcr
�GAS l7 Eloct O PvvrVnt Floor Sink Drink Fmn
Wtr Sewv M�
Clothaa Wrdv Hand Sink � _ Wuh P.ht� �, Wtr[luage Mv
i�dry T�ay Lab Sink Celch BasM , . Mirac Pixtuxs
Electric Cootracto�'(for projects not requ�ring an EN k'orm)
Use/Natnrc o�'Worlc
3ize Material Type #_ _ Conn. Type `
SenitBry Sewer
Storm Scwer
We[cr Servicc
06/09