HomeMy WebLinkAbout0122939-Plumbing
G
OSHKOSH
ON THE WATER
Job Address 1632 ONTARIO ST
Contractor MR ROOTER OF THE FOX VALLEY
PLUMBING PERMIT - APPLICATION AND RECORD
CITY OF OSHKOSH No 122939
Owner CHRISTOPHER L MACK Create Date 12/18/2006
Plan
Category 411 - Residential-Water Heaters
Bathtub Shower Water Softner Wait. St. Shamp Sink
Whirlpool Floor Drain Local Waste Ice Chest FlrlWst Sink
Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin
Toilet Disposal Bidet Sculry Sink Wash Ftn
Res. Sink Dishwasher Beer Tap Hand Sink Urinal
Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec .
Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker
Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain
Roof Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp
Misc.
Fixtures
Use/Nature SFRlReplace gas water heater. **DEBIT ACCT**,
of Work
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Size
Conn. Type
Material
Type
#
Sanitary Sewer
Storm Sewer
Water Service
Valuation
$700.00 Plan Approval
~
. $0.00 Permit Fees
$25.00 D Permit Voided I
Issued By
Parcel Id #
1210050000
Date 12/18/2006
In the performance of this work, I agree to perform all work pursuant to rules goveming 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
Address PO BOX 3063
Agent/Owner
APPLETON
WI 54914 - 0000 Telephone Number 920-687-9178
Date
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.
:0: 12/18/2005 13:55
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9205879407
tvlR ROOTER
PAGE 01
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POBox 1130
Oshkosh,. WI: 54903-1130
Phone: (920) 236-5050
Fax.: (920) 236-5084
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I hereby apply for a permit to do aud install the following plumbing on the premises ~ described, tbe'woU In eouforw.1O the
WlSCODSin State Plumbing Code, in the P"lfotmancc of which all parties hereto agree to and ~ bouUd by said statutes.
,
'Plumbing Pennit Application
. ,
· AppIication(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 pennit(s) will result in fees bein8 doubled or $100.00 plus the '
normal permit fee. which ever is greater. .
OR
~::" .~:~ - ~~.;_el_r ~~r:'ici..tl.g ~. ~e :~rrttfe~ "ce...1 Svm.. _.dh_.e' .~ea..," {POtU. chock "r~.
,fvou want tillS. /!.TDcessed throufl,;D T cc un.. " ,
Job Address 11/5~ Of1-\ari 0 S't-Valqe~~"'_l 7 (JO@> '- Dale t). f,( I ~
Owaer (JII?;<" M~<-k. . eoqtractor l{.iZ.. i2aJIFK ~"-bd . . _ mm
~ingle Family . []DUJltu OMnlti-Family ,[]Rental. DCo~r.clti~, ::; .h1(1us~",:',< I.. "
(\ Number of FIxtUres:
/ Balbtub
Whh1~1
Uivatory
Toilt:t
" ~;'i::, ~,~. ~..: ~- ~ . :'~:r: :';:
Res.. Sink
Bar Sink
Willer Heater -L
~ 0 61~t 0 PwrVnt
Sb<Jwer-
Floor Dram
lndry TlIY.
Lab Sink
PliUller Sink
SlI:fIli=
Misc,
Fixtures
Disposal
~ber
Sump PIIIq)
EjectorlOrind
WI~ SoftnCT
Local Waste:
Oothes WdIr
Bidet
Beer Tap
CIusnnSink
Surw=ans SInk
Bn:.Jam Sink.
Dip Well
1Insc Bibs
IJrink FIn
Wlli't.St.
Ice Chest
.Exam Sink
Sc:ull'y Sink:
Hand Sink
F Prep Sink
Serv Sink
Jnt Gn:aM: Trap
Ext 0n:lI1ie T I1IP
ItP.z. YaM:
S1larllI Sink
Fb1WSl Sink
, .:: . Catt:b. Basin
. WlISh Ftn
~
Gar l>mn
SodaDisp
Colkc Maker
Comm. (tc Maker
Site Drain
koof Drain
StllIIdp R.ec
Eye Wash Sin
W1r Sower Mtrt;
DcniuctM~
Wtt Us.p MlrS
- Electric Contnctor
OR
[]Electric'InstallatioD Verification !9rm attached
(If Rep1aeement) . ~ \~
, .. -. ,0'\\ -'1) ~ 0
" '}d-rA;t
#
CoI1Il. Type
Use I Nature of Work
Size
Material
Type
r \ Sanitary Sewer
, '
Storm Sewer
W stet' Service
~
~ rf'7 - 9Ya 7
'- @ l' In",-