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HomeMy WebLinkAbout0123317-Plumbing (water heater) o OSHKOSH ON THE WATER Job Address 1009 BOWEN 5T CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner CHARLES/RUTH ISAACSON Contractor M P KELLY Category 411 - Residential-Water Heaters Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures UselNature of Work Valuation Issued By Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Lab Sink Sterilizer Dip Well Drink Ftn Wait. St. Ice Chest Exam Sink Sculry Sink Hand Sink Plaster Sink Surgeons Sink F Prep Sink Serv Sink Shamp Sink FlrlWst Sink Catch Basin Wash Ftn Urinal Standp Rec Ice Maker Gar Drain Soda Disp No 123317 $0.00 Permit Fees $25.00 0 Permit Voided I 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 SFR / REPLACE GAS WATER HEATER **check #8317 - , . Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcelld # 1109500000 Address 665 N MAIN ST Agent/Owner OSHKOSH WI 54901 - 4431 Telephone Number 231-1750 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 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 ce OJHKOJH ON THE WATER JAN 26 2007 DEPARTME~T Of. Plumbing ~1~f~RT I hereby apply for a pemrit 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 agree to andareboUIld by said statutes. . Application( s) and fee( s) can be brought'to City Hall, Room 205 orm,ailed to Inspection Services, PO Box .1128, Oshkosh WI 54903-1128. Commencingwork withoutpermit(s} will result in fees being doubled or $100.00 plus the normal permiHee, which ever is greater. OR Ifvou are a contractor particivatingln the Permi.! Fee AccountSvstem and have adequate funds. check here i ou want this rocessed throuh our account . J~b Addre1i&:J!;~ Value <mo'"",g ,...,... "".""".l1t! ~ PI ~er _ _:oiC>tt@S.~ Coutractor ~.~. ~t' . --' tASlugIe Family DDuplex DM1!iti-Family DReutalDCo er"ial Date '/&i~' ;.<;:' ':;;,"--:;-::;}~:j:.T:~:,~' ::,;i ..~, , : ":: DIndus~rl~f. , -::;:,!::,: ." " ,~. _:~:"-c"_'~i~_.__~._~~~~J~ Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water jjeater i- ~as 0 Elect 0 PwrVnt Shower Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Disposal Dishwasher Sump Pump Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Classrm Sink Surgeons Sink Breaknn Sink Dip Well DrinkFtn Wait.St. Ice Chest Exam Sink .S.clilry Sink l-lan4!~j~~ FPrep Sink Serv Sink IntQrease Trap ExfQrease Trap RP .Z. Valve S,hamp Sink Flr/WstSink Catch Basin Wash Ftn Urinal Gar Drain Soda Disp Coffee Maker Ice Maker Site Drain Roof Drain Standp Rec Eye WashStn Wtr SewerMtrs Deduct Meters Wtr Usage Mtrs I ... ....... OR OElectric Installation Verification form attached - (If Replacement) . . ... S-tJ tI Electric Contractor Material Type # Conn. Type Use I Nature of Work Sanitary Sewer :StonnSewer ' Water Service P. s./ 4/05