HomeMy WebLinkAbout0123314-Plumbing (water heater)
o CITY OF OSHKOSH No 123314
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 903 BROOKWOOD CT Owner ALAN/LEANORE ROMMELFANGER Create Date 01/16/2007
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
Use/Nature
of Work
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
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 1 CONNECT INDIRECT WATER HEATER "check #8317
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1603280103
Valuation
$272.00 . PI~n Approval
SY"YlL0
$0.00
$25.00 0 Permit Voided I
Permit Fees
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
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 Diyision
POBox 1130
Oshkosh, WI 54903-,1130
Phone: (920) 236-5050
Fax: (920) 236-5084
E EIVED
e.....
.....~...
OlRKOJ8
; ..ON THE WATER
JAN 2 6 2007
. ... . DEPARTMENT OF .
PI um.g7~~~1I1rRf(~W'tM~~tion
I hereby apply for apertnit to do and instaUthefollowingplumbirtg onthe.pretnises .hereinafterdescn'bedithewoikto confOmlto the
Wisconsin State Plumbing Code, in the peiformanceofwhich allpartiesb~eto~eetQ andareboun:d bysaidstatute.s.
. .
. Application(s) and fee(s)cin be brought'to City'Hal1,Room-205 or mailed. to.Inspection Services; PQ Box 1 128,
Oshkosh WI 54903-1128. Commencing work without pennit(s} will tesultin fees being doubled or $100.00 plus the
normalp~Hee, which ever is greater. . "
OR .. .'. .
lfvou .tlrea contractor varticipatingJh tHe PermitFee AccountSvstemand haveadequatJ!funds.check here
ifvou want this V7'ocessed throughvour account n . .. - ,. ... . .
Job Addr~ Clod 8R.#1rtHf/f7value (mol.'mg ""mono! "",",',) .
~Ie:~ Ll~~:I~~A+~~;,:=or. Olndlls_ ..~.... ..~
i~..:..':: ~~_':l ~~...~.:.:..,~" _'~M:'~~
Number of Fixtures:
BathtUb
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater ~
o GasOElectOPwrVnt
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
: Dispo~al.
.. Dishwasher
Sump Pump
Ejector/Grind
Water Softnet
Local Waste
Clothes W$hr
Bij:!et
Beer Tap
ClassfrriSinJ(:
.SurgeciTisSink
Brea~Sil1k
Dip Well
-'-----
~
DrinkFtn
Wait-St-
Ice Chest
,Exam Sink
.~~4?'Sink
.H!lr,~~}~" ..
.nrepS.tik
ServSink
. -Ihcl\:9.re.~~e Trap:. ..
',Bxti..q~settap .
RJ';Z:Yalve
~hamp:Sink
. "l}ltlWst.Sitjk
"'----
Misc.
. Fixtures
.OR .. ..QE'l~ctri~Ins:t~liati~IlVeJifh~ll~:pn:f();titl att!,ched
... .. . .. . (IfRep1a<:eme1il) . .
~~Jf/ If
. co. .'..._ '. . - ',',., _.,'" . d
Electric Contracti)r
Use tNature of Work.
~d
Material. . .
. TyPe
Size
Sliilitary Sewer
,.Water;Service
~
Catch Basin
Wa~hFtn
Urinal
Gar Drain
Soda Pisp .
Coffee Maker
. Ic~ Maker
SitePr3in
Roorprain
Startdp Rec
Bye Wilsh SIn
Wtr Sewer'Mtrs
Dtduc;t Meters
. Wtr USage Mtrs
. '>''""~--'c~'
~
. ---..:--.-..
" '.'.
.~
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.Conn;;TiPe
..~~
4/05