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Home My WebLink About0103640 POSHKOSH ON THE WATER .lob Address 517 ALGOMA BLVD Contractor ADAMS PLUMBING 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 JOHN T/LINDA PORIOR Category 411 - Residential-Water Heaters No 103640 Create Date 08/21/2003 Plan Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0 Water Soffner 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 SFR/ RENTAL/ Replace 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 $500.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided Issued By Date 08/21/2003 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 1570 N OAKWOOD OSHKOSH WI 54904 - 0000 Telephone Number 233-2661 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. OSHKOSH ON THE WATER Job Address 517 ALGOMA BLVD CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Owner JOHN T/LINDA PORIOR Contractor ADAMS PLUMBING Category 411 - Residential-Water Heaters Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn Water Heater 1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker No 103640 Create Date 08/21/2003 Plan Gar Drain 0 Soda Disp 0 Coffee Maker 0 Int Grease Trap 0 Ext Grease Trap 0 RPZ Valve 0 Eye Wash Stern 0 Use/Nature SFPJ RENTAL/Replace gas water heater. of Work Sanitary Sewer Storm Sewer Water Service Size Material Type # Conn. Type 0 0 0 0 0 0 0 Valuation $500.00 Plan Approval $0.00 Permit Fees $20.00 [] Permit Voided~ Issued By Da~ 0~21~003 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 holde~and to secure any/~[e~s/s~ry approvals before starting such activity. SignatureJ [_~_~,~ [~ Date ~-O~1 ~,..~ [ v Ag~nFOwner Address 1570 N OAKWOOD OSHKOSH WI 54904 - 0000 Telephone Number 233-2661 To schedule inspections please call the Inspection Request Dine 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 P O Box 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) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR lf vou are a contractor participating in the Permit Fee Account System and have adequate funds, check here i£¥ou want this processed through your account [~ Job Address ,D~ ) /t~ L_~O~ Valne (Including labor and materials) ~d]~` ~ Owner ,~"~ ~-\ ~'30}/~,.IO~0.. Contractor /~Ad, X~ ~/.~Cxt I--]Single Family r']Duplex [-1Multi-Family -- / ~]Rental [-1Commercial ~-]Industrial Number of Fixtures: Bathtub Lndry Standp Dent. Oper. Shamp Sink Whirlpool Disposal Dip Well Flr/Wst Sink Lavatory Dish~vasher Drink Fm Catch Basin Toilet Sump Pump Wait. St. Wash Ftn Res. Sink Ejector/Grind Ice Chest Urinal :~f Bar Sink Water SoOner Exam Sink Gar Dm~ Water Heater ] Local Waste Sculry Sink Soda Disp /~Gas [2 Elect 0 PWTVnt 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 Int Grease Trap Roof Drain Lab Sink Surgeons Sink Ext Grease Trap Standp Rec Plaster Sink Breakrm Sink R:P.Z. Valve Eye Wash Stn Sterilizer Electric Contractor Use / Nature of Work Size Sanitary Sewer OR [--]Electric Installation Verification form attached (If Replacement) ¢ Material Type # Conn. Type Storm Sewer Water Service 7/03