HomeMy WebLinkAbout0116075-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 2165 FAIRVIEW ST
CITY OF OSHKOSH
No
116075
PLUMBING PERMIT - APPLICATION AND RECORD
OWner MARK D/A M SCHULTZ
Create Date 09/01/2005
Category 411 - Residential-Water Heaters
Plan
Contractor M P KELLY
Bathtub 0 Shower 0 Water softner 0 Wai!.s!. 0 Shamp Sink 0
Whirlpool 0 Floor Drain 0 Local Waste 0 Ice Chest 0 FlrlWst Sink 0
Lavatory 0 Lndry Tray 0 Clothes Wshr 0 Exam Sink 0 Catch Basin 0
Toilet 0 Disposal 0 Bidet 0 sculrysink 0 Wash Ftn 0
Res. Sink 0 Dishwasher 0 Beer Tap 0 Hand Sink 0 Urinal 0
Bar Sink 0 Sump Pump 0 Lab Sink 0 Plaster Sink 0 standp Rec 0
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
Misc. 0
Fixtures
Use/Nature r~'-~--
of Work
Coffee Maker 0
Int Grease Trap ~
Ext Grease Trap ~
RPZValve 0
Eye Wash statn 0
Wtr Sewer Mtrs 0
Deduct Meters 0
Wtr Usage Mtrs 0
Size
Material
Type
#
0
0
0
0
0
0
0
0
0
0
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1521480000
$20.00 D Permit Voided I
$793.00
Plan Approval
$0.00
Permit Fees
Valuation
Issued By
Date 09/01/2005
In the peñormance 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 peñorm 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 approvais before starting such activity.
Signature
Date
Address 665 N MAIN ST
AgenUOWner
OSHKOSH
WI 54901 - 4431
Telephone Number 231-1750
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.