HomeMy WebLinkAbout0103485-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 1785 CHATHAM DR
Contractor SOPER PLUMBING
CITY OF OSHKOSH No 103485
PLUMBING PERMIT - APPLICATION AND RECORD
Owner ROBERT/MARGARET RIECKMAN TRUST Create Date 08/12/2003
Category 4tl - Residential-Water Heaters Plan
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 Lndry Stndp
Res. Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater 1 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
0 Ejector/Grind 0 DipWell 0 F PrepSink 0 Gar Drain 0
0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
0 LocaIWaste 0 Wait. St. 0 Shamp Sink _ 0 Coffee Maker 0
0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
0 Dent. Oper. 0 Hand Sink 0 Urinal 0 Eye WashStatn 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature
of Work
IFPJ Replace gas water heater.
Valuation $475.00
Issued By If~
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type
Plan Approval $0.00 Permit Fees
# Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00 [] Permit Voided
Date 08/12/2003
In the performance of this work, I agree to perform all work pursuant to nJles 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 contac'[ the
eas~ment~h~der(s)an~se~urea~nyne~appr~vaisb~f~restartings~h~ignat~r~N~--~::)~ ~--~--.~ activity. Date d'~/,~?- ' ~)..~
y'"- ' U-~'~ - Agent/Owner
Address 2225 BURNWOOD DR Oshkosh WI 54902 - 0000 Telephone Number 426-2151
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
O/HKO/H
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 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) wilt result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check herr'
if you want this processed through your account ['~
Job Address /?,~- ~'/d,~.t,~,.~, O,~ Value (Including labor and materials)
Owner ~¢~/~..~ ~-- ~.~.-e.y,~¢~,~ Contractor
~Siagle Family [-]Duplex [-]Multi-Family [~Reatal [~Commercial [-]Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper. Stamp Sink
Whirlpool Disposal Dip Well Flr/Wst Sink ·
Lavatory Dishwasher Drink Ftn Catch Basin
Toilet Sump Pump Wait. St. Wash Ftn
Res. Sink Ejector/Grind Ice Chest Urinal
Bar Sink Water Sofmcr Exam Sink Gar Drain
Water Heater / Local Waste Seulry Sink Soda D/sp
~i~Gas [] Elect [2 PwrVnt Clothes Wshr Hand Sink Coffee Maker
Shower
Bidet F Prep Sink Ice Maker
Floor Drain
Beer Tap Serv Sink Site Drain
Lndry Tray Classrm Sink lnt Grease Trap Roof Drain
Lab Sink Surgeons Sink Ext Grease Trap Standp Rec
Plaster Sink Breakrm Sink
Sterilizer
Electric Contractor OR
Use / Nature of Work
[~Electric Installation Verification form attached
(If Replacement)
Sanitary Sewer Size Material Type # Conn. Type
Storm Sewer
Water Service
3/02