HomeMy WebLinkAbout2007-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 845 W 19TH AVE
CITY OF OSHKOSH No 123077
PLUMBING PERMIT - APPLICATION AND RECORD
Owner SCOTT UANNE L NEY TRUST Create Date 01/04/2007
Plan
Contractor LARRY HANSEN PLBG
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 Breaknn Sink Dip Well F Prep Sink Gar Drain
Roof Drain Ejector/Gri nd Drink Ftn Serv Sink Soda Disp
Misc.
Fixtures
Use/Nature SFR /INSTALL GAS WATER HEATER **check #14937
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 $625.00 Plan Approval
ISSUedBy~l~
$0.00 Pennit Fees
$25.00 0 Permit Voided I
Parcelld #
1412840000
Date 01/04/2007
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 inthis 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 N-1044 TOWER VIEW DR
Agent/Owner
GREENVILLE
WI 54942 - 0000 Telephone Number 920-757-6863
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.
` ' City of Oshkosh � �l\J-. Ci � �
Inspecrion Services Division �
P O Box 1130
Oshkosh,WI 54903-1130
� Phone: (920)236-5050 � '��
Fax: (920)236-5084 OlHKOlH
ON THE `NATER
Plumbing Permit Application
I hereby apply for a perrzut 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 agee to and are bound by said statutes.
• Application(s)and fee(s) can be brought to City Hall, Room 205 or mailed to lnspecrion Services,PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
If vou are a contractor �articipatine in the Permit Fee Account Svstem and have adequate funds check here
if vou want lhis processed throu2h vour account n
Job Address �`�T� W ``�1�� �U+CJ V31Ue(Includinglaborandma[erials)�pa+j, �� Date��,—��
Owner �$Z,l� Contractor �-'(�(U t--FC�r'l�-QJ(�
[�Single Family ❑Duplex �Multi-Family ❑Rental �Commercial ❑Industrial
Number of Fixtures:
� BathNb _ Disposal Drink Ftn _ Catch Basin
Whidpool Dishwasher Wait SL Wash Fm
Iavatory Sump Pump Ice Chest Unnal
Toilet - _ Ejector/Grind Exam Sink _ Gar Drain I
Res.Sink _ Wa[er Sofiner _ Sculry Sink _ Soda Disp _
Bar Sink Local Waste Hand Sink Coffee Maker
W [er Heater � Clo[hes Wshr F Prep Sink Comm.Ice Maker
�az 0 Elec[�PvrtVnt g�de[ Sery Sink Si[e Drain _
i�
Shower Beer Tap _ Int Greue Trap Roof Drain
Floor Drain _ Classnn Sink _ Ext Grease Trap Standp Rec
Lndry Tray Surgeons Sink RP.Z.Valve Eye Wash Sm _
lab Sink _ Brealam Sink Shamp Sink _ Wh Sewer Mhs
PlasterSink _ DipWell Flr/WstSink Deduc[Meters
Sterilizer Hose Bibs _ Wtr Usage Mtrs _
Misc.
Fixtures _
Electric Contractor OR ❑Electric Installation Verification form attached
(If Replacement)
Use/Nature of Work
Size Material Type # Conn.Type
Sanitary Sewer
- � Storm Sewer
Wa[er Service
ii/os