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Home My WebLink About0103836-Plumbing (water heater)OSHKOSH ON THE WATER Job Address 1025 MERRIqq' AVE Contractor SOPER PLUMBING CITY OF OSHKOSH No 103836 PLUMBING PERMIT - APPLICATION AND RECORD Owner JANE F WESTPHAL Create Date 09/02/2003 Category 411 - Residential-Water Heaters Plan Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0 Whirlpool 0 Floor Drain 0 Water Soffner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0 Lavatory 0 LndryTray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0 Toilet 0 LndryStndp 0 Clothes Wshr 0 Ice Chest 0 Fir/Wet Sink 0 Int Grease Trap 0 Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0 BarSink 0 Dishwasher 0 BeerTap 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 SFPJ 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 Voidedl Issued By ~I~P~ 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 msthctions 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 hold, nd to secure a~y necessary approvals before starting such activity. Signatur~=/,-~¢,-~/"~/'- <:~,¢~-~// ~'- Date ~ ~J / 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 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 If you are a contractor participatinL, in the Permit Fee/lccount System and have adequate funds, check here if you want this processed through your account ~ Job Address/c,A~'"/z-~z>~.~ ./--7-- Value (Including labor and materials). ~'-~ Date Owner /~¢~-~ ~/~.~ < Contractor ,~-ap~ ~/7~_~r~×~/~ []Single Family ~]Duplex ~]Multi-Family ~]Rental [-]Commercial ~]Industrial Number of Fixtures: Bathtub Lndry Standp Dent. Oper. Shamp 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 Softner Exam Sink Gar Drain Water Heater ~ Local Waste Sculry Sink Soda Disp }{Gas O Elect [3 PwrVnt Clothes Wshr l-land Sink Coffee Maker Shower Bidet F Prep Sink Ice Maker Floor Drain Beer Tap Scrv 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 OR [-]Electric Installation Verification form attached (If Replacement) Use / Nature of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service 7/03