HomeMy WebLinkAbout0123204-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 1202 W 5TH AVE
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner SUSAN M CUDAHY
Contractor M P KELLY
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 ~tandp Rec
Water Heater 1 Classrm Sink Sterilizer Surgeons Sink Ice Maker
Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain
Roof Drain Ejector/Gri nd Drink Ftn Serv Sink Soda Disp
Misc.
Fixtures
Use/Nature SFR / REPLACE GAS WATER HEATER **check # 8308
of Work
No
123204
Create Date 01/15/2007
Plan
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
$721.77j Plan Approval
~LA
$0.00
$25.00 D Permit Voided I
Parcelld #
0609840000
Permit Fees
Issued By
Date 01/17/2007
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 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 665 N MAIN ST
Agent/Owner
OSHKOSH
WI 54901 - 4431 Telephone Number 231-1750
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 Nam~ 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
JAN j ? 2007 ~
~
~
OfHKOfH
ON THE WATER
Plumbing Permit Applicati.on
I hereby apply for a peonit to do and install the followi~gplumbing on the prettrlses hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the perfon:i1anee of which all parties hereto agree to and are bound by said statutes.
. Application(s) and fee(s) can be bro.ught to. City Hall, Ro.om205 o.rmailed to. Inspecti9nServices, PO Box 1128,
Oshkosh WI 54903-1128 . Co.mmencing work without pennit(s) will result in fees being doubled or. $100.00 plus the
no.rmal permit fee, which ever is greater. -
OR
Ifvou are a contra.ctor participating in the Permit Fee Account Svstem and have adequate funds. check here
if vou want this processed thrOu,flh v~JUr ~ccount n
Job Address
Owner
~..FamilY
Vable (Including labor and materials) 7~ i 7 ?
. Date/~h 11th
Contractor M'.P.Ke.lly, Inc. 665 N. Mqin, Oshkosh
ORental DCommercialDlndustrial
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
W~~eat~ . I
lJX3as 0 Elect o PwrVnt
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Siilk
Sterilizer
Misc.
Fixtures
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner .
Local Waste
Clothes Wshr
Bidet
Beer Tap.
Classrm Sink
Surgeons Sink
Break:rm Sink
Dip Well
DrinkFtn
Wait. St
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
F Prep Sink
Serv Sink .. .
. fit Grease Trap
ExtGrease Trap
R.P .Z. Valve
~ha.mp Sink
FlrlWst Sink
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disi>
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Rec
. Eye Wash Stn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Electric .Contractor
DElectric IDst~latio'nVerification form att?,cbed
J. J..f f~Replacement) . .. ..
~ .
Use I Nature of Work
Type
#
Conn. Type
S'o/
7J
Sanitary Sewer
Storm Sewer
Water Service
4/05