HomeMy WebLinkAbout0158117-Plumbing (catch basin) f
� CITY OF OSHKOSH No 158117
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 246 CITY CENTER Owner CITY CENTER ASSOCIATES LLC Create Date 10/07/2013
Contractor D.R. HANSEN PLBG. __ ___ Category 402-Residential-Exterior(other) 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 FINWst 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
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 1 Eye Wash Statn 0
Water Heater 0
Use/Nature iCOMM/replace catch basin ��
of Work ;
"*debit acct"*
I
__ '
—
Size Material T e # C nn.
o T e
YP YP
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0100600000
Valuation $1,000.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided
Issued By �� Date 10/07/2013
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the
easement holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address 55 KNAPP ST OSHKOSH WI 54902 -3448 Telephone Number 233-1595
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone f
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
C�ty of OShkosh �
l�nt�pection Servic�Division �
P O Box 1130
Oshkosh,WI 54903-1.130
phona(920)236-5050 Ly/rl u
Fax:(920)23(►-508� f A\U I I
oN rw[wniER
Plumbing Permit Application -
I hereby apply for a permit to do and ir�tail the foliowing plumbing ot�the premiaes hereinaf�cx d�cribed,the wo*lc to conform bo the
Wisconsin$t�tc Plumbin�Codc,In the performanee of which all pA�'ties heceto�cC to and are bound by said stBtUtcs.
• Application(s)and fee(s)ean be brought to City Hall,Room 205�r mpiled to Inspection Services,PO Box I 128,Oshkoah WI
54903-1128. Commcnc+ng work wid�rnrt permit(s)wi��result in fees being doubled or�100.00 pluc thc normal permit fec,which
evcr iS greatcr.
I r� are a co►tiOrac[nr narticinQ in "�ihe ermi[ /%ee �l ce Lnl Svstem a►t� have adeorrate funds.__ eck re
�'vou tiran! thi eroces� d� thr2,��gh vo�tr eccount ,�,
**pdvisory-For applicabac prajec�, ani E�ec�ical�nstaUation'Verificabion(E�f'odn,siigned 1►3'the Electrica�
Ccmtractor or HomcawmCC(for installatxons allowcd to bc pc�'o�xncd by thc homeowne�)mnst bc snbnui�ttcd
wit�13�c penmit applicafion. A,�►plicatio�ns sabnutted widiaut an EIV whar snch is reqniircd,wkil not be
proce,csed fvc Perm.it�ssaence an�d w��bc rettu�ned fo�r coxnpleticm. � •
n' v O ,p 0 ]Date I� 7 '�
Job Addres� �� ` l�' .Q r Value(t���ee��a�a�a c�ig� �•�
Owne�' � T� Y� Con�trector n u b �1..�
❑SiM�glc Family []Daplex ❑Malti-Family ORcntal �Commercial�lndnstrial
Namber of Fixtare.�: �
9ad�b Sump Pump Plt�stcr Smk Roof Lhuln
fihowct 9nn.SumM�mp 3cutlay Sink Sodn Ui,q�
UVl,irlpool w�nx Soila►c► Servicc smk Cof1'oe Mkr
[.avatcxy Smndpipc Rcc _ Sl+amp Smk Sitc Artiin
Toild GAraqC FD Surgrn�Sink Waitrs 3fn
Kit�ink Locnl Wacle 3terilin�r tce Chest
. DiAposnl Ber S�k RP7 Valvc Comm Icc Maka
DI7F1wn.ainx
Brt�knn Sink Bidd 1M G*r�sc'Itap
Fla►r Drsm _
Clat4rm Sink Urfnal Cxt Gresac Tmp
Hnac Bibb
Exam Smk Bc�x T:� 6yo Waah Sm
�,�Q��� r•Prep 5ink Dipper wetl ncaua Maa
❑(isa 4l 81xt C7 i'wrVnt Ficxir Sink Drink F� Wlr Scvv�x Mu
Clotfi�a R+shr Hand Sink ' . VNaah F.r�En �. Wtr UsagcMa
Lndry Tray [ah Sink Cnceh Ba�cln . � Miac Fixtwr.a
Electric Contractor(for p ' ot rec�uiring aa EN Form)
Uce/Nutarc of Work
Size Matcria) Type �t. ,� Cone.Type -
Sanitary Sewcr
Storm Scwer
Wacer Scrvicc
06/09