HomeMy WebLinkAbout0105125- Plumbing (water heater) 474ad CITY OF OSHKOSH No 105125 5GH'`
DEC 1549
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER OAT!:
Job Address 913 N LARK ST Owner TODD M NEWELL Create Date 11/04/2003
Contractor WATTERS PLUMBING Category 411 -Residential-Water Heaters Plan
Bathtub 0 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Sery Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait.St. 0 Shamp Sink 0 Coffee Maker 0
ii Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 Flr/Wst Sink 0 Int Grease Trap 0
Res.Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Water Heater 1 Sump Pump 0 Dent.Oper. 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature SFR/Install gas water heater.
of Work
Size Material Type # Conn.Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Valuation $599.00 Plan Approval $0.00 Permit Fees $20.00 ❑ Permit Voided
-
Issued By Date 11/04/2003
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 PO BOX 118 MENASHA WI 54952 -0118 Telephone Number 800-801-8125,733-81
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.
- - From:4ATTERS PLUMBING 920 733 2713 11/03/2003 15:41 #151 P.002/002
City of Oshkosh
Inspection Services Division
P 0 Box 1130
Oshkosh,WI 54903-1130
Phone:(920)236-5050 �
Fax: (920)236-5084 Of-KOiI I
ON"NF WATEP
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described,the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parries hereto agree to and are bound by said statutes.
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or$100.00 plus the
normal permit fee, which ever is greater.
OR
I you are a c. raclor .arta ' ! in rh• ' •rmit ee A S stem and h.v• ude'uate . ds check her
if You want this processed through your account '1
Job Address /'J A! *(/e tsX Value (Including labor and materials) :? //,44.1/ UC Date /
Owner /t /v�s-4.t,LL. Contractor c-'--47777e-r-,'-z, ,.•rSi•,,,/6
[Xngle Family QDuplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent.Oiler. Shamp Sink
Whirlpool Disposal Dip Well Flr/Wst Sink
Livatory Dishwasher Drink Fm Catch Basin
Toilet Sump Pump Wait.St. Wash Fm
Res.Sink Ejector/Grind Ice Cheat Urinal
Bar Sink Water Softer Exam Sink Gar Drain
Water Heater C—"------ Local Waste Staley Sink Soda Dip
Cis=Elect=PwrVnt Clothes u-'shr Hand Sink Coffee Maker
Shower Bidet
Floor Drain F Prep Sink Ice Maker
Beer Tap Sery Sink Site Drain
Lndry Tray Classrm Sink Int Grease Trap Roof Drain
Lab Sink Surgeons Sink Ext Grease Trap
Standp Rec
Plaster Sink Breakrm Sink
Sterilizer
Electric Contractor OR ❑Electric Installation Verification form attached
(If Replacement)
Use/Nature of Work
Size Material Type # Conn.Type 1
Sanitary Sewer
Storm Sewer
Water Service I
3/02
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