HomeMy WebLinkAbout2013-Plumibng (2 water heaters) � CITY OF OSHKOSH No 157944
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 202-208 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 Trey 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 Flr/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 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 202 and 206
of Work
"*debit acct**
I
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 �l�1/�- 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
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. :
Ciry of Oshkosh
lnspection Serviices Division
POBox1130 �
Oshkosh,WI 54903-1130 � :
Phone:(9z0)236-5050
Fax:�920,236-5084 � H
Plumbing Permit qpplication� �N TME���,�R
I hereby apply for a permit to do and instAll thc following pinmbing on the pr�miscs hereina�fter dcscribcd,thc work to conform co tho
Wisconain S�te Plambing Code, in the performance of which all parties hercco agrec t�o aod are bound by said stsh,tcs.
• ApplicnNon(s)end�cc(s)can be brouglxt to City Hall,R�tn ZOS or m�i(od to Inspection Senricos,p0 Box 1128,Oshkosh Wr
54903-I 128. Comme[�cing work withput permit(s)will result in fecs bcing doubled or S i 00.00 plus thc normal perntit fec,which
ever i9 greatcr. ,
OR
If vou are a eo»tractor nur[ieipati� i�Lhe Permi/�'ee Acco�nt,,,£v��ern and hav�adeque(e �u�rls, eheck herg
Ef vou wa�E r�i� nrocecse� thror��h vovr accovnt n
*'"Adv�.sory-Far a��icablc prajccts,an Hcctr�icat I�ustallabio�a veriGcationt(ExV}fo�,saig�atd by the E�cc�r�ical
Contract�o�or�iomeowmex(fac installai�ions allowcd to be perfonued by thc homeowmer)mnst be snbmitted
�thc�eunaiit applical�io�a. Applica�ions snbmitt�d w�ithort an L�V whe.n sach�is�nequQred,w�11�ot be
procc,csed for Permit ce an�wx'1�be retmacd�co�mpldion.
Job AddressoZL�� 1 .Q �c�00.QL7 '�'I !3
��_ Value p++o�uef�g labo�ana m„carcJs Aate
Owner�e f r S Contractor � .('� . Cj'► VM1��1'l L��
[]Sir��lc Family ❑Dnplex ❑Mniti-Family (]Rcntal
f�l]Commerciial dnAab�ist
Nomt�r of F"tztar�s:
���b Sump 1'umD Planur 3ink Roof ihain
9howcr San.Sump/1'ump 5cullery 5ink S�p�,�,
Whidpool 11Vaur 3oRencr 9ervicc 3ink Cofl'a Mlcr
l.AV�tory 9csn�ipc Roc Shamp Sink Site f�ain
TniIM " Garagc Fn 5urgcons 3init waitra$qt
Kic Sink ��y�
5terilim ����
- ��� Bar QiNc RP7 vnlve Comm Ice MekQ
Dishtugahcr Drealvm sink Didct
1nt C,rea,�o Tmp
Floor Drnin Cl�rm Sink Uritul �C��-�}�
Hase Bibb Exnm Sink 8oer Tap Eyc Wsiah Sh�
Wat�r Hcetpr � F Prop Sink pipper Wdl Dcdud Mcler
�c3as��p PwrVet Floor 3ink T)rink Fmn
Wcr 3ewer Mtr
Cbd�cs W,d�r HaMd Sink ' . wasb Fntri : vVV Usage Mtr
I.ridry Tr,�y I,pb Sink Catdt Easin . Meac Focou�
Electric Contractor(for�rojects not reqairing an EN Form)
Use/Natarc of Work
Size Material Typc �i_ _. Conn.Type ,-
Sanitary Sower
Storm 5cwcr
Watcr Scrvice
06/09