HomeMy WebLinkAbout0111111-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address
Contractor
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
1755 SOUTHLAND AVE
HOMEOWNER
Owner JOSE/EVA C MARTINEZ
Category 411 - Residential-Water Heaters
No 111111
Create Date 10/13/2004
Plan
0 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
0 LndryTray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 Int GreaseTrap 0
0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0
1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature SFR / REPLACE GAS WATER HEATER
of Work
Valuation $800.00
issued By
Size Material Type # Conn. Type
Storm Water 0
Plan Approval $0.00 Permit Fees
$20.00 [] Permit Voided I
Parcel Id #
0612340000
Date 10/13/2004
The undersigned, in applying for a plumbing permit to install plumbing in a single family home owned and occupied as the
principle residence of the undersigned, hereby acknowledges, per Wisconsin State Statutes, ss t45.06, that other individuals
will not be employed to assist with the work described by this permit. If an individual will be employed to install plumbing
the work involved must be covered by a permit issued to a properly licensed Master Plumber.
In the performance of this wo~,J agree to~p~f¢'~ all work pursuant to rules governing the described construction.
Address 1755 SOUTH~ND AVE OSHKOSH WI 54902 4117 Telephone Number ~ ~c~/~
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.