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Home My WebLink About0103437 POSHKOSH ON THE WATER ,Job Address 2520 #A VILLAGE LN Contractor M P KELLY CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner FRANCIS C/JEAN GEHRKE Category 411 - Residential-Water Heaters No 103437 Create Date 08/11/2003 Plan Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0 Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0 Lavatory 0 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0 Toilet 0 Lndry Stndp 0 ClothesWshr 0 Ice Chest 0 FIrNVst 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 SculrySink 0 Wash Ftn 0 RPZValve 0 Water Heater 1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash 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 CONDO/Replace electric water heater. *EIV form from TRuck Electric. 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 $459.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided Issued By Date 08/11/2003 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. 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. City o.f Oshkosh Inspection Services Division POBox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 ECEIVED ) AUG 1 1 2005 DEPARTMENT OF o, BO MUNITY DEVELOPN ENT Plumbing Permit Application I hereby apply for a permit to do and install the followipg plumbing on the premises hereinafter described, the work to conform to the Wisconsin State Plumbing Code, in the pei'formance of which all parties 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' ~eater. OR lf Fou are a contractor participating in the Permit Fee Account SFstern and have adequate funds, check here if Fou want this processed through Four account Job Address ~0/e~ V~_~;~C?~ng Owner ~,~_,~.f~ Contractor ~,,~. ~I/~/. [-[Single Family F]Duplex I-]Multi-Family I IRental I ICommercial [--]Industrial Date Number of Fixtures: Bathtub Imdry Stendp Dent. O~cr. Shamp Sink Whirlpool Disposal Dip Well Flr/Wst Sink Lavatory Dishwasher Drink Fm Catch Basin Toilet Sump Pump Wait. St. Wash Fha Res. Sink Ejector/Grind Ice Chest Urinal Bar Sink Water Sofmcr Exam Sink Gar Drain Water Heater/ / Local Waste Scurfy Sink Soda Disp ~ Gas ~LL~fect ~ PwfVnt Clothes Wshr Hand Sink Coffee Maker Shower Bidet .... F Prep Sink lee Maker Floor Drain Beer Tap Serv Sink Site Dmin Ladry Tray Classrm Sink lnt Grease Trap Roof Drain Lab Sink Surgeons Sink Ext Grease Trap Standp Rec Plas~r Sink Breakrm Sink Sterilizer Electric Contractor ~/~ ~ ~..~O(~ 'Use / Nature Sanitary Sewer Storm Sewer Water Service ~nstallation Verificati6n form attached Size Material Type # Conn. Type 3/02 Q City of Oshkosh Division of Insl~:fion Services 215 Church Avenue PO Box 1130 Oshkosh WI $4902-1130 Of HKOffN o~ o~o~o Electric Installation Verification c-' / (Electrical Contractor Name) (Address) (City) / _ (State). (Zip Co~) have been contracted to perform electric installatlon work for .(Name of pffr¢ contra ed to) at the following address: ~ ~t~ ~5~2~ V.M_~___~;~_~ ~ J ~ / ' (Address where work will b~ performed) The nature of the work consists of: (Check One or Describe the Nature of Work) Recom~ection or new circuit for replacement Heating Plant and/or AffC Condenser. Reconnection or new cimuit for replacement'Electric Water Heater. Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles and lighting fixtures due to siding / soffit installation. Note: New Service Entrance Cables will require a separate permit. Reconnection or new cimuit for other permanently wired appliances / fixtures. Other The value of this work is $ ./Od. ~() I hereby verify this work will be performed by an employee of this company and further verify the reconnection / installation will be done in compliance with manufacturer and Electric code requirements. (gig~ature o f Cro~pa~ny Office~)'~ (Print Nar~e of O~fficer) (Date)