HomeMy WebLinkAbout2007-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 1027 RUGBY ST
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner JASON M RILEY
Contractor SBS PLUMBING LLC
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
No 123617
Create Date 02/26/2007
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 **debt acct
.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1302970000
Valuation $2,900.00 Plan Approval
Issued By ~ IAJ
$0.00 Permit Fees
$25.00 0 Permit Voided I
Date 02/26/2007
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 4635 RED FOX RD
OSHKOSH
WI 54904 - 0000 Telephone Number 920-410-5933
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
FEB2 6 2001
~
OfHKOfH
ON THE WATER
Plumbing Permit Application
I hereby apply for a permit 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 and are bonnd by said statutes.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
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
I ulIds. check here
Job Address /.077 ;i2(J~~V
I
Owner ~~AJ Z~'fV
~le Family DDupl:x
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Value (Including labor and materials) e;:;; 9~' -
Date...2/.Pd? /t?7
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Contractor
DMulti-Family
5.85 ~v-iSINb
DRental
DCommercial
D][ndustriaI
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater /
:a"Gas 0 Elect 0 PwrVnt
.cvv 'b2:41I4N1b
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
Brea10m Sink
Dip Well
Hose Bibs
DrinkFtn Catch Basin
Wait. St Wash Ftn
Ice Chest Urinal
Exam Sink Gar Drain
Sculry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Comm. lee Maker
Serv Sink Site Drain
Int Grease Trap Roof Drain
Ext Grease Trap Standp Rec
RP.Z. Valve Eye Wash Stn
Shamp Sink Wtr Sewer Mtrs
FirlWst Sink Deduct Meters
Wtr Usage Mtrs
Electric Contractor
OR
DElectric Installation Verification form attached
(If Reptacement)
Use I Nature of Work
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service