HomeMy WebLinkAbout0112997-Plumbing (water heater) � CITY OF OSHKOSH Ho 172997
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OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD °
ON THE WATER � 5,�
Job Address 2260 CRANE ST Owner SCOT R/VICTORIA VANASTEN Cr 03/14/2005
Contractor HOMEOWNER Category 411 -Residential-Water Heaters Plan
Bathtub 0 Shower 0 Water Softner 0 Wait.St. 0 Shamp Sink 0 Coffee Maker 0
Whirlpool
Lavatory 0 Lndry Tray 0 Clothes Wshr 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Toilet 0 Disposal 0 Bidet 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Res.Sink 0 Dishwasher 0 Beer Tap 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
Bar Sink
Water Heater 1 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Site Drain 0 Breakrm Sink 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Roof Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Use/Nature
of Work
INSTALL NG WTR HTR
Size Material Type # Conn.Type
Storm Water 0
0
0
— � Parcel Id#
� 1211630000
Valuation $400.00 Plan Approval $0.00 Permit Fees $20.00 ❑ Permit Voided �
Issued By Date 03/14l2005
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 145.06,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 work, I agree to perform all work pursuant to rules governing the described construction.
Signature /� i%!8� a,� Date _�—�¢^ Q�
AgenUOwner
Address 2260 CRANE ST OSHKOSH WI 54901 1765 Telephone Number
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 activiry. ,