HomeMy WebLinkAbout0118355 P
e CITY OF OSHKOSH No 118355
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1715WLlNWOODAVE Owner MARGARET M BARTELT Create Date ~
Contractor SAMMONS PLUMBING Category 411 - Residential-Water Heaters Plan
Bathtub ---.2 Shower 0 Water Softner 0 Wail.SI. 0 Shamp Sink 0 Coffee Maker ---.2
Whirlpool 0 Floor Drain 0 Local Waste 0 Ice Chest 0 FlrlWst Sink 0 Int Grease Trap ---.2
Lavatory 0 Lndry Tray ---.2 Clothes Wshr 0 Exam Sink ---.2 Catch Basin 0 Ext Grease Trap ---.2
Toilet 0 Disposal 0 Bidet 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve ---.2
Res. Sink ---.2 Dishwasher 0 Beer Tap 0 Hand Sink ---.2 Urinal 0 Eye Wash Statn ---.2
Bar Sink 0 Sump Pump 0 Lab Sink ---.2 PlasterSink 0 Standp Rec ---.2 Wtr Sewer Mtrs 0
Water Heater 1 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Deduct Meters 0
Site Drain ---.2 Breakrm Sink 0 DipWell 0 F Prep Sink 0 Gar Drain 0 Wtr Usage Mtrs ---.2
Roof Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink 0 Soda Disp ---.2
Misc. 0
Fixtures
Use/Nature
of Work
REPLACE GAS WATER HEATER "DEBIT ACCT
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 Parcelld #
0 1216570100
$600.00
Plan Approval
$0.00
Permit Fees
Valuation
Issued By
$20.00 0 Permit Voided I
Date~
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 appiication within an easement. the City strongiy urges the permit appiicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Agent/Owner
OSHKOSH
Date
Address 522 W. MURDOCK AVE
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.
Wi 54901 - 2298
Telephone Number 231-9880