HomeMy WebLinkAbout0122762-Plumbing (water heater)
G CITY OF OSHKOSH
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1130 MOUNT VERNON ST
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
No
122762
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner PAUL J NEBEL JR 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
SFRI Replace gas water heater "
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1003100000
$693.90 Plan Approval
()/YJVCl
n u__. $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 MAl N 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: (920) 236-5050
Fax: (920) 236-5084
.
O;HKOfH
; ON THE W^TEI?
Plumbing 'Perm.itApplication
I hereby apply for apernti.t to do and install the followingplwnbmg on thepretniseshereinafter described, the work to conformJo the
Wiseons.m State Plumbing Code, in the performance of which atlparties h~retoagree to andarebourtd bysaidstatute.s.
. Application(s) and fee(s) can be broughfto City Hal1, Room 205 ormalled to InspectionServices,POBo~T128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will tesultin fees being doubled or $100.00 plus the
normal pemritfee, which ever is greater.
OR
I ouarea contractor artici atin in the Permit Fee AccountS stern and have ade check here
ou want this rocessed throu h our account
JobAddrOll' / / 3d A1fY~alue (In""'m, """, md """",I,)
~er /VI e.L IIA L-6/ Coutractor
[0Single-F3mily DDuplex DM.ylti-Family
D~elr~:i~~'
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{\ Number of Fixtures:
L
: Disposal.
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes W$hr
Bidet
Beer Tap
ClassimSink
Surgeons Sink
Breakrm Sink
Dip Well
DrinkFtn
Wait.St.
.Ice Chest
Exam Sink
$.~'!Iry Sink
Iitill1,~~~.i~~ .
FPrepSihk
Serv Sink
Iht\C{reilse Tr~p _ .
.Ii~fqiellse rtaP
R,P,Z. Valve
S.hampSink
EltlWst.Sink
.~.
Catch Basin
Wa~hFtn
Urinlll
Gar Dra.in
Sodll Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Rec
Eye WashStn
Wtr SewerMtrs
Deduct Meters
Wtr Usage Mtrs
Bathtub
Whirlpool
Lavatory
Toilet
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
..:---
Use lNature ofWor
Q11.
." .' i' "',;'.,. :", 'h."; ',",..."',
", .. .', ,...,..,..,....,.
.OEle~triclnstaliation'Verificati9nform attached
(IfRe la~e ~ 1) .. 111 -
\ \bv ;? IjfY
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Electric Contractor
f" Sa.nitary Sewer
WaterService
4/05