HomeMy WebLinkAbout0103860-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 315 317 321 DOVE ST
Contractor O'NEILL ENTERPRISE INC
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner VIRGINIA E NASLUND
Category 441 - Industrial-Water Heaters
No 103860
Create Date 09/02/2003
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 CIothesWshr 0 Ice Chest 0 FIr/Wst 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 COMM/Install 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 J~ Permit Voided
Issued By
Date 09/02/2003
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 5575 CTY RD N PICKETT WI 54964 - 0000 Telephone Number
428-4700 589-2007
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.
89/8212883 13:18
City of Osbko: I
Inspantkm Set. lets Divlfion
P O Box !130
Oshkosh, W! =! [903-1130
Phone: (920) ;~. ~-50S0
Fax: (920) 256; !084
9205893015 DNEILL
PAGE 01
Q/ KO/H
ON THE '~ATER
Plumbing Permit Aoolication
I heveby s) ~: ly for a permit to do and install the following plumbing on thc premises hct¢ina~cr dcacribed, the work to conform to the
onsm Sm~e Plumb ng Code, ~n the peffonnnnce ofwh cb all Frames bm*ere egree to and me bound by sa~d statutes.
Number of ~i ~:[tures:
Bathtub S~ertli~e¢ __ B~enk~ Sink
~ Ol~ol Dip Well ~r~st Sink
W~ ~ J WaI~ ~er 'Exam $i~ ~ Onr Dmtn
Ciectric Con, ructor
Ise / Nalnre ,l~Work
¸OR
D ETV form attached (If Replacement)
torm Scwer
later Service
Size Material
Type # Conn. ,Type
Applicntier (:l) a~d fee(E) can be brought to City Ha~, Room 205 or mailed to In~'et~on Services, PO Box 1
54903-112~ .. Commencing work w~thout pe~mlt(s) will result ~n fees being doubled or $100.00 plus the normal permit fee,
which ever .s greater.
OR
Check here if yep wane th~s processed throu.qh Your account