HomeMy WebLinkAbout0122758-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 1014 W BENT AVE
Contractor M P KELLY
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
CITY OF OSHKOSH
No
122758
PLUMBING PERMIT -APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner ELIZABETH NOWICKI/MARY HANSEN Create Date 12/01/2006
Category 411 - Residential-Water Heaters Plan
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest FlrlWst Sink Int Grease Trap
Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Bidet Sculry Sink Wash Ftn RPZ Valve
Beer Tap Hand Sink Urinal Eye Wash Statn
Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Sterilizer Surgeons Sink Ice Maker Deduct Meters
Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Drink Ftn Serv Sink Soda Disp
~FRI Replace gas water heater.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1207220000
$318.00 Plan Approval
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$0.00 Permit Fees
$25.00 D Permit Voided I
Date 12/01/2006
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
OSHKOSH
WI 54901 - 4431 Telephone Number 231-1750
Address 665 N MAIN ST
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
(\ POBox 1130
..' '. )Oshkosh, WI 54903-1130
Phone: (nO) 236-5050
Fax: (920) 236-5084
(I;
QJHKOJH
;ON TH~ WAT~11
Plumbing 'PermUApplication
I hereby apply for a permit to do and install the following plumbing ontheprefuisesherdnafter descn'bed;theworkto conform. to the
Wisconsin State Plumbing Code, in the performance of which i111partiesheretoagree to and.arebound by said statutes.
. Application(s}and fee(s}can be brought to City HaI1, Rootn205 Of mailed to Inspection Services, PO Box 1 128,
Oshkosh WI 54903-1128. Commencing work without permit(s} will result in fees being doubled or $100.00 plus the
normal pennit'fee, which ever is greater.
OR
I ouareacontractor articf atin in tHe Permit Fee AccoimtS stem and Have ade ck here
ou want this rocessed throuh our account
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Date .. I ". ....:l;l '.
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f'\ Number of Fixtures:
~
Drink Ftn
Wait.St.
Ice Chest
.Exam Sink
.~\'<4Iry Sink
Fjandf;$i~~ .
FPrep Siilk
$erv Sink
Iilv.qreilse Trap
!3xt.Qrease1'f'<1.p'
i
R,P.Z. Valve
S,harnpSirik
<EltlWstSink
~:
Catch Basin
Wa~hFtn
Urinal
Gar Drain
Soda Pisp
Coffee Mak(:T
Ice Maker
Site Drain
Roof Drain
Standp Rec
Eye Wash Stn
Wtr SewerMtrs
Deduct Meters
Wtr Usage Mtrs
W r Heater r
GasO Elect 0 PwrVnt
Show(:T
Fjoor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
: Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes W$hr
Bidet
Beer Tap
ClassrmSink
SurgeonJ; Sink
Breaknn Sillk
Dip Well
....:-.-.-
Bathlllb
Whirlpool
Lavatory
Toilet
Res. Sink
-'---
Misc.
Fixtures
Electric Contractor
OR
Use lNature of Work .
Material
" Samtary Sewer
.,StormSewer......:
Water:Service
4/05
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