HomeMy WebLinkAbout0158258-Plumbing (water heater) /� CITY OF OSHKOSH No 158258
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1623 1627 BOWEN ST Owner BOZEMAN CAPITAL GROUP LLC Create Date 10/15/2013
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 FIrIWst 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 1
Use/Nature COMM/replace water heater -�
of Work
�'*debit acct"
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1504830400
Valuation $400.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided'i
Issued By � Date 10/15/2013
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.
Ciry of Oshkosh
Inspccdon Scrvicrs Division �
P O Box 1130
Oshkosh,WJ 54903-1130 �
Phoae:(920)236-5050
F�:`920,��SO� O HKO H
Plumbing Permit �ppllcation ON THC WAT:R
I hereby apply for a permit to do and instail the fotlowing plumbing on the prcm;ses horeinafter described,tho work to conform to thc
Wisconsio State plumbing Code,in tl�e performance of which all patties.herete agree to and are bound by said ststutes,
� Application(s)and fee(s)ean be brougttt to City Hall,Rcwm 20S or mailed to lnspection Services,PO Box 1128,Oshko�h WI
54903-11.28. Commencing work without permit(s)will resalt in fees being doubled or�100.00 pl�s che normal permit fee,which
evcr is groatcr.
OR
�vou are_Q con[rac[nr�rj��ipoling !n �hc Perrrlil Fee �,ccount S ��m an Qye a uale s c here
ou wa [his r ssed thr h ur account
**Advisory-�'ox applicab�e projects, an Elechnicel Installation vpnificatiott(EI�foxm,signed b�Y t�e k�ectrical
Coni�'actor ar Homeown�cir(for i�stallations allowed to be perfcr�a�ed by t�e b�omcpwpier)mn,at be s�b��d
wxth the�t applica�ion. A��ications sabmittcd w�ithon,t an�V wbcr��ch is x�uacd,w�ill not bc
proc�cd for Permit Issaancc a�ad a►�bc retaracd fox complctirna. � ,
Job A,ddresa 1/� ►1 VaI�6(Including labor'end mntcriala} �O V pate U �
�'''n��" . � Coatractor . � n3l�'1 !' V�n �,C
❑Siagle,F9m,iiy [JDnplex �Multi��amity ORcotal '
�Commerci9l �Indnstnial
Number of Fixhtr�:
9othwb Sump P�onP Pla4tcr 3ink Roof Drsin
Sh°u�r 3'�n.SumP��D Scullery Sink Soda DiAp
Whirlpool W9lcr Soften� Servicc Sink Co�'a Mkr
[,cwatory Slandpipo Rce Shamp Si»k Sitc b�ain
Tuilct Gurnge FD 9urpeons Sink Wnitrs 9m
Klt Sink �,p��yy�
Stcrilizcr Ice Chcat
. Disposnl Bm S+nk �1'Z Vnlvo Comm icc Mnkcr
biehwagher F3realrnn 5ink Aidce !nt Crrcaac Trop
Floor brain ClAS.wm 3ink Uri�l ��=�p
Nosc Bibb Cxem Sink Bcer TaP Eye WaAh 5ui
Weter Hentcr _�,.,_ R Rcp Sink Dipper Wcll DMucl Mctcr
J�!Gns L7 Blcq f.l DwrVnf �laor Sink prink Fnln � Wtr Scwcr Mtr
ClMhcs Wabr FTand Cink ' _ Wash Cn1n •. �
Wv tlwRC Mv
Cndry Trny Lab Sink C�lfeh Basm . Muec Rixtwes
Electnic Contracto�r(for�roj ts not requiriag an EIV Form)
Use/Natnre o�Work
Si�,e Material Type #, _ Conn.Typc ,-
SAni�ry Sewer
Storm Sewcr
Water Service
06/09