HomeMy WebLinkAbout0123201-Plumbing (water heater)
e CITY OF OSHKOSH No 123201
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1502 MENOMINEE DR Owner THE NELSON TRUST Create Date 01/15/2007
Category 411 - Residential-Water Heaters
Contractor M P KELLY
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fi~tures
Use/Nature
of Work
Valuation
Issued By
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest FlrlWst Sink
Lndry Tray Clothes Wshr Exam Sink Catch Basin
Disposal Bidet Sculry Sink Wash Ftn
Dishwasher Beer Tap Hand Sink Urinal
Sump Pump Lab Sink Plaster Sink Standp Rec
1 Classrm Sink Sterilizer Surgeons Sink Ice Maker
Breakrm Sink Dip Well F Prep Sink Gar Drain
Ejector/Grind Drink Ftn Serv Sink Soda Disp
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
SFR / REPLACE GAS WATER HEATER "check # 8308 ' "
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1513050000
$732.17 ' Plan Approval
Qyn~ .
$25.00 D Permit Voided I
Date 01/17/2007
$0.00
Permit Fees
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
",d
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 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
JAN I 7200Vj
(f)
OfHKOfH
ON THE WATER
Plumbing Permit Application
I hereby ~pply for a pennit to do and install the followiJ,lgplumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes.
· Applicatio.n(s) and fee(s) can be bro.ught to. City Hall, Ro.om205 or mailed to Inspection Services, PO Box 1128,
Oshko.sh WI 54903-1128. Co.mmencing wo.rk witho.utpennit(s) will result in, fees being do.ub1ed or. $100.00 plus the
no.rmal permit fee, which everis greater.. h
OR
If yOU are a contra.ctor varticipating in the Permit Fee Account System and have adequate funds. check here
if YOU want this processed throu,gh your account n
...
Job Address / 5'(J~ ~e (Jncludingiaborand materials) 1-1~,"/7
Owner ~~./~ontraetor M.;>.Kell:t, Inc. 665
~~am . Duplex DMUlti-FamilyQaental DCommercial
, Date/~9JO?
,
N. Main, Oshkosh
DIndustrial
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
BarSink ,/ ~
~ect~t
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
Classnn Sink
Surgeons Sink
Breakrm Sink
Dip WeJl
Drink Ftn
Wait.St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
F Prep Sink
Serv Sink .' .
. Int Grease Trap
ExtGrease Trap
R.P.Z. Valve
~hlimp Sink
FIrlWst Sink
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Rec
. Eye Wash Stn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage MtTs
Electric .Contractor
U"/~atureofwor/)~
. Size Material
- ,"f: DElectrlCI.nstallatiOnVerifica;t.ion formatt~. ched
A../ 'II \ (IfRepla~ement)... .
Type
#
Conn. Type
Sanitary Sewer
Water Service
oS
~
Storm Sewer
4/05