HomeMy WebLinkAbout0122842-Plumbing (water heater)
o CITY OF OSHKOSH No 122842
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1222 SAY SHORE DR Owner HENRY M/FA YE A VAN DAMME Create Date 12/11/2006
Contractor RAPID SOFT LLC
Category 411 - Residential-Water Heaters
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain.
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest FlrlWst Sink
Lndry Tray Clothes Wshr Exam Sink Catch Basin
Disposal Bidet Sculry Sink Wash Ftn
Dishwasher Beer Tap Hand Sink Urinal
Sump Pump Lab Sink Plaster Sink Standp Rec
Classrm Sink Sterilizer Surgeons Sink Ice Maker
Breakrm Sink Dip Well F Prep Sink Gar Drain
Ejector/Grind Drink Ftn Serv Sink Soda Disp
I
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
SFR/Replace gas water heater for Sears.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0804020000
Valuation
$613.00 Plan Approval
a~
$0.00 Permit Fees
$25.00 0 Permit Voided I
Issued By
Date 12/11/2006
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 N1284 CRANDON CT
GREENVILLE
WI 54942 - 0000 Telephone Number 757-6130
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.
-.-.. ~ ~..,-~---_._~----'
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City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
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ON THE WATER
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 SlOO.OQ plus the
nonna1 permit fee, which (;:ver is greater.
OR
I vou are a contractor artid a in in the Permit Fee Account S stem and have ode
VOll wallt this rocessed throu h vour account
Job Address/..,,2...)-2 15Cj 14<7' D-- Value (Including labor and materials) 6' / J.. cd Date ~/&' /dt<::'
Owner /k........,j d... L'~- _ ~ Contractor F:. tl'-~ hrr:+- L-L C
Y I
psingte Family DDuplex DMulti-Family DRental DCommercial Dlndustrial
f'\
Number of Fixtures:
Bathtub Lndry Standp
Whirlpool Disposal
Lavatory Dishwasher
Toilet Sump Pump
Res. Sink Ejector/Grind
Bar Sink Water Sofmer
Water Heater --1- Local Waste
;il Gas [' Eleet :: PwrVnt Clothes Wshr
Shower Bidet
Floor Drain Beer Tap
lndry Tray Classrm Sink
lab Sink Surgeons Sink
Plaster Sink Breaknn Sink
Sterilizer
Electric Contractor OR
Dent. Oper. Shamp Sink
Dip Well Flr/Wst Sink
DrinkFm Catch Basin
Wait. St. Wash Ftn
Ice Chest Urinal
Exam Sink Gar Drain
Sculry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Ice Maker
Serv Sink Site Drain
Int Grease Trap Roof Drain
Ext Grease Trap Standp Ree
DElectric Instanation Verification form attache
(If Replacement)
(",
Use I Nature of Work F'tC.-fi',c""-<:..e. c:;: c...-~ CV<::$e...- A c~ ~".-- fe-.u---S
, /'
Size
Material
Type
#
Conn. Type
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Sanitary Sewer
Storm Sewer