HomeMy WebLinkAbout0123325-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 127 BOWEN ST
CITY OF OSHKOSH
No
123325
PLUMBING PERMIT - APPLICATION AND RECORD
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature ~FR /INSTALL GAS WATER HEATER "check #2140
of Work
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
1 Classrm Sink
Breakrm Sink
Ejector/Grind
Owner TAMARAE G PINNO Create Date 01/26/2007
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 Staildp 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
Contractor JOHN D RANSOM
"
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0801920000
$25.00 D Permit Voided I
Valuation $430.00 Plan Approval
Issued By~lAJ
$0.00 Permit Fees
Date 01/26/2007
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 Date
Agent/Owner
Address W5056 PARADISE LN
FOND DU LAC
WI 54935 - 0000 Telephone Number 920-922-1987
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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
bspec!lon Services Division
POBox 1130
Oshkosh, WI 54903-1130
Pholle: (920) 236-5050
Fax: (920) 236-5084
ECEIVED
ON THE 'vV.A.TER
JAN 2 6 ?On7
,
DEPARTMENT OF
COMMUNiTY DEVELOPMENT
Plumbing Permit Application
I hereby apply for a pemrit to do and install the following plumbing on the premises herei.."'1after described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto a.gree to and are bound by said statutes.
.. Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box i 128,
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 i1 contractor DarticlDating in the Permit Fee Account Svstem and have adequate funds. check here
if vou want this DTocessed through vour account n
Job Address f a- '1 fJ.,rJlJ]e/Vv --f;;l Value (Inc1uctmglaborandrr,ateriaIS).iLf .f'O ,() iJ
Owner ~~ r~~Contractor ~ ~~....--
~Single Family DDuplex CMulti-Family DRental DCommercial
Date / - (}.jl --0 1
Dlndustrial
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
LTldry Sta"dp
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Dent. Oper.
Dip Well
Drink Fin
Wai~. St
Shamp Sink
Toilet
FIrIWst Sink
Catch Basin
Wash Hr.
Res. Sink
Ice Chest
Urinal
Bar Sink
Exam Sink
Gar Drain
Soda Disp
Coffee Maker
Vlater Heater ~__
i Gas 0 Elect C PwrVnt
Local Viaste
Scull)' Sin..k
Hand Sink
Clothes Wshr
Lndry Tray
Beer Tap
Classrm Sink
F Prep Sink
Serv Sink
Ice l'Aaker
S~10\.vcr
Bidet
Floor Drain
Site Drain
lut C-rease Trap
Roof Drain
Lab Sink
Surgeons Sink
Ext Grease Trap
Standl' Rec
Plaster Sink
Brea.1an: Sink
Sterilizer
Electric Contractor
OR
nElectric Installation Veriiication form attached'.
(If Replacement)
Use / Nature of Work
,~/
Size
Material
Type
#
Conn. Type I
I
Sanitary Sewer
Stornl Sev.,ier
\Vater Service
3/02