HomeMy WebLinkAbout0102971 POSHKOSH
ON THE WATER
,Job Address 617 619 STERLING AVE
Contractor M P KELLY
Bathtub 0 Shower 0
Whirlpool 0 Floor Drain 0
Lavatory 0 Lndry Tray 0
Toilet 0 Lndry Stndp 0
Res. Sink 0 Disposal 0
Bar Sink 0 Dishwasher 0
Water Heater 1 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner TRAVIS J/AMY E HENRY
Category 411 - Residential-Water Heaters
No 102971
Create Date 07/21/2003
Plan
Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
LocalWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Beer Tap 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 0
Lab Sink 0 Plaster Sink 0 Standp Rec 0
Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature DUPLEX/RENTAL/#619/Replace gas water heater.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size
$479.00 Plan Approval $0.00 Permit Fees
Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date 07/21/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 665 N MAIN ST OSHKOSH WI 54901 - 4431 Telephone Number
231-1750
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 Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Of HKD/H
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work tu conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes.
· Application(s) and fee(s) can be brought to City Hail, 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 ii greater.
OR
I ou are a contractor artici atin in the Permit Fee AccountS stem and have ade ua'te unds check here
i ou want this rocessedthrou h our account
Job Address /~/F~,rd~/~/l~/i/~c2'~ Value(ineludinglahorandmate~a,sL_,~L/~7~'.O0 Date 7~4
I-]Single Family /~Duplex [-]Mult~-Family [~]Rental I-]C/ommercial [-"]Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Opec. Shamp Sink
Whirlpool Disposal Dip Well Flr/Wst Sink
Lavatory Dishwasher Drink Fm Catch Basin
Toilet Sump Pump Wait. St. Wash Fm
Res. Sink Ejector/Grind Ice Chest Urinal
Bar Sink Water Sofmer Exam Sink Gar Drain
W~aHeater / Local Waste Sculw Sink .. Soda Disp
s E Elect E PwrVnt Clothes Wshr Band Sink
Shower Coffee Maker
Bidet F Prep Sink
Floor Drain ..... Ice Maker
Beer Tap Serv Sink '
Lndry Tray Site Drain
Classrm Sink Iht Grease Trap
Lab Sink Roof Drain
Surgeons Sink Ext Grease Trap
Plaster Sink Standp Rec
Breakrm Sink
Ste~lizer
Electric Contractor .OR
'Use / Nature of,WOrk~
['-}Electric Installation Verificati6n form attached
M~~ment)
Sanitary Sewer Size Material Type # Conn. Type1
Storm Sewer ,,~
Water Service ~0
3/02