HomeMy WebLinkAbout2003-Plumbing (water heater)OSHKOSH
ON THE WATER
,Job Address 1519 ADAMS AVE
Contractor RAPID SOFT LLC
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 THOMAS G BURGETT
Category 411 - Residential-Water Heaters
No 103730
Create Date 08/27/2003
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
LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
CIothesWshr 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/Replace gas water heater for Sears.
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 $450.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Date
08/27/2003
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 P.O. BOX4052 APPLETON WI 54915 - 0052 Telephone Number
920-757-6432
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.
C~orOshkmh
.hspec on S=vic mvb n
?OBox 1130
Oral.h, WI ~g0~.l I~0
Pbon~. (~20) Z36-S)'~0
Fax: (~2o) Z36;.s0~
Plumbing Permit ApplicatiOn
· Applicalion(s) and il s can " · . · '
~ ) be br0ul~ to City Hatl, Room 205 or mailed m Insp~hon Scrviccs, po Box 1128,
Oshlm6h WI .~1~903.1128. Commencing work without permits) will r~mlt ~n fees beins doubled or $100.00 plus
normal permit f~e. which cv~r is greater.
OR
}~f you are a co,~tra~tor tMrti~it~aHn~ I~ the Permit Fee Account SV~te~t and Aave udeauate funds, cieck hqr~
if you want tAi$ Brocesscd titrou~A.~vour aceo~mt , ~'~
Nmaber of
Electric ContracU)r
Use I Naivre of Work ,
SMrm Sewe~
WaMr Service
~Electric Installation VerificatiOn form at~acbed