HomeMy WebLinkAbout0123319-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 931 JEFFERSON ST
Contractor M P KELLY
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner WILLIAM E KLlSS
Category 411 - Residential-Water Heaters
Shower Water Softner Wait. St.
Floor Drain Local Waste Ice Chest
Lndry Tray Clothes Wshr Exam Sink
Disposal Bidet Sculry Sink
Dishwasher Beer Tap Hand Sink
Sump Pump Lab Sink Plaster Sink
Classrm Sink Sterilizer Surgeons Sink
Breakrm Sink Dip Well F Prep Sink
Ejector/Grind Drink Ftn Serv Sink
Shamp Sink
FlrlWst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature SFR I REPLACE GAS WATER HEATER **check #8317
of Work
No
123319
Create Date 01/26/2007
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
j
Type
Conn. Type
Size
#
Material
Sanitary Sewer
Storm Sewer
Water Service
$0.00 Permit Fees
$25.00 0 Permit Voided I
Parcelld #
1001160000
Valuation $676.30 Plan Approval
Issued By &y-y)1_J
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
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 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
RECEIVED
@
&
, ...ON THE WATER
JAN Z 6 ?007
PIUmbiM1.~~t~mtOn
I hereby apply for. apennit to do and install the following plumbing onthepreinises .hereinafterdescnbed1thework.to conformJothe
Wisconsin.8tate Plumbing Code, in the performance of which atlparties hereto agree to and are bouttd by said statuteS.
. Applicati<m(s} and fee(s) can be broughfto CityHal1,Room'205:6rmailed toInspectionServices;POBoxl128,
Oshkosh WI 54903-1128. Commencing work withoutpermit(s)will result in fees being doubled.or $100.00 plus the
normal pe~Hee, which ever is greater. . ~.
OR
If vouare.acon.tractorvarticipating. l.ntHe Perini.( Fee AccoimtSvstemand haveadequatelunds.check here
i'vou want this processed throufthvour account n ..... . .. ..
Job Address rJ / ~ Value ("""'d"'gl,b~md_,," ")
~ny k ~ J; Contractor.' ,
psingleFatnily DDuplex DMutti-Family
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Date. I~?~'(;/l....
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Number of Fixtures:
.~.
Catch Bilsiri .
Wal;hHn
Urinal
Gar Drain
. Soda Disp
CotreeMak(lJ'
. Ice Milk.C:r
Site Drain
. Rl>>f prain
Sta1\dp Rec
Bye Wash SIn
Wtr SeWel'Mtrs
peduc;t Meters
Wtr Usage Mtrs
-'---
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink _
Waler~r --1-
~aso ElectO PwrVnt
Shower
Ftoor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
:Disposal.
. Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
ClassrmSink
. SurgeciJ'i$Sink
BreakmrSink
. . Dip Well
~
DrinkFtn
Wait.St.
Ice Chest
,Exam Sink
~t<9h?'Sink .
JJat'~1~~~'~ .
.FPrepSbik
SeN. SInk
'Ih:~,qre~~eTrap.. .
.,Bxt'.:Or,eJsetrap. ...
RJ';Z: VaM
. ~hamp:Sink
jiWWstSitik
,:"~
-'--
--'--
-'-----
Misc.
. Fixtures
Electric Contractor
OR
~.
.:Q~lectrt~lns:t~tbltl~l1'\ter,Ulea~pn':form att!1ched
.. .(IfReplaeemenI) .
;)7&.
Use lNature of Work.
.. . .
. :Conn;.type.
, ./
:30
Sanitary Sewer
..' ,iStonn.Sewer:/..
...Water.:ServiCe
.,'
4/05