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Home My WebLink About2007-Plumbing (water heater) o OSHKOSH ON THE WATER Job Address 330 ZARLING AVE CITY OF OSHKOSH No 123316 PLUMBING PERMIT - APPLICATION AND RECORD Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Owner DANIEL J HARTZHEIM 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 Standp 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 M P KELLY Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work SFR I REPLACE GAS WATER HEATER **check #8317 ... Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcelld # 1262190000 . $0.00 Permit Fees $25.00 0 Permit Voided J valu. ation . $794.0~ Approval Issued By ~ 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 OSHKOSH Address 665 N MAIN ST WI 54901 - 4431 Telephone Number 231-1750 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 Inspection Services Division POBox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 RE EIVED JAN2 6 200'( DEPARTMENT OF COMMUNITY DEVELOPMENT PlumbingPerm.itApplica:tion (I) OjHf<OfH .' .ON THE W^TE~ I hereby apply for a permit to do andmstallthefollowingplumbirtg onthepn:iiniseshereinafter descn"bed,the workto conformto the Wisconsin State Plumbing Code, in the performance of which all parties hereto~gree to and are bound by said statute.s. . ApplicatiQn( s} and fee(s} can be brought to' City Ha11, Room 205 or mailed to Inspection. Services, POBox 1128, Oshkosh WI 54903-1128. Commencing work withoutpennit(s}wjll result in fees being doubled or $100.00 plus the normal penniHee, which ever is greater. OR If~ouarea contractor. artici at. in. tnth~.,.Per_ it Fee AccountS stem and have ade iou want this processed through your account n . ck here Date/~!o?/-(ll;...;,t; .;"J.;.",.: ..;,:.'~':-:'" ,......" \,",:", ';-~..', " "''.~;: :n~:dr~7J~~O ff~~t Contractor (:Jsingle Family DDuplex DM~lti.;.Family Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink WateyHeater -r pGasO Elect 0 PwrVrit Shower Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures i Disposal .' Dishwasher Sump Pump Ejector/Gritid Water Softner Local Waste Clothes Wshr Bidet Beer Tap ClasstinSink . Surgeol1s Sink BreakrmSitik Dip Well -0....:..,-- DrinkFtn Wait.St. Ice Chest Exam Sink .$:\;l!lry Sink llan,<!!~.'~~ . FPrep Siilk Serv Sink . "Ihtqreilse Trap A~~t\Gi:easetrap I KP:Z.Valve . S,hampSink ,E1r/WstSirik ~ -''''<':''',',i::~ ,," "",-,-,-"",-,_,,~ ',,~.:...~ . J: Catch Basin Wash Ftn Urinal Gar Drain Soda pisp Coffee Maker Ice Maker Site Drain Roof Drain StandP Rec EyeWash SIn Wtr Sewer'Mtrs Deduct Meters Wtr Usage Mtrs Electric Contractor Use I Nature of Work Material Sllnitary Sewer " :;StormSew,er.. " .' Water ,Service OR . ' . ",' ,.;" "".-,". iOEI~ctritlnsta,llation.Verifictltlpn.forin. attached . (If Replaeemenl) . . . . # eOJ,ill.Type g'S/ 4/05