HomeMy WebLinkAbout0123717-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 1214 W 6TH AVE
Contractor M P KELLY
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
CITY OF OSHKOSH No 123717
PLUMBING PERMIT - APPLICATION AND RECORD
Owner DIANNA M GRIESBAUM Create Date 03/06/2007
Plan
Category 411 - Residential-Water Heaters
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
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
rFR f REPLACE GAS WATER HEATER -,he,k #8410
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
$0.00 Permit Fees
$25.00 D Permit Voided I
Valuation $723.00 Plan Approval
Issued By VYn ~
Parcelld #
0609720000
Date 03/06/2007
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
MAR 0 5 2001
PI umbingPermUApplication
(I)
OlRf<OfH
.; ....ON THE WATEIl
I hereby apply for apetnrlt to do and install the fOllowingplUl11bmg onthe,prefuises .herdnafterdescn'bed1the work.to confOt'lnto the
Wisconsin State Plumbing Code, in theperfonnance of which allparties heretol!;gfee to and .arebourtd by said statuteS.
. . r ,.' .
. Application( s) and fee(s) can be brought'to City HalI,Room'ZOS (lrtnaileq to Inspection Se~ces,pO 'Bo~1128,
Oshkosh WI 54903-1128. Conunencing work withoutpeIl}1it(s}willresultiil fees being doubled.or $100.00 plus the
normal pe~tfee, which ever is greater. .
OR .
If vou area contractorvarticipatingln tHe Per.init Fee AccoimtSv.siemafu/ haveade(Juati!;funds.check here
ifvou want this processed throughvour account n . . . .,
JobAddrcss /':;'/LjuJ L/)Cp~.' Value (Ineludinglaborandrtilltet;als)
Ow~ ft~/1/E.Jtfr 4~E;<'-contractor
l2!SingleFanrlly DDuplex DM-~ilti~Family
. Dt' ,'I/&i/J'j.,1t
. a ~' '~~;~)~i:\,:,;~.~{)<"~~:~~'::" _ .: ((:'
.' - ,.." ..,' ~ ' .., ' .
Number of Fixtures:
Bathtlib .
Whirlpool
Lavatory
Toilet
Res. Sink _
B~Sink /
Wal . ealer r
asOElectD PwrVnt
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
:Oispo~al
Dishwasher
Sump Pump
Ejeetor/GriTid
Water Softner
Local Waste
Clothes WShr
IJipet
QBeerTap
ClassrmSinj(
. Surgeon$.Sink
Brealmn Sink
Dip Well
~.
-'--
Drink Ftn
Wait.S!.
, . Ice Chest
,Exam Sink
~~91f,YSink
>>~~~I~~';
F'Prep SInk
$erv Sink
'Ih,tr,qre~e Trap . .
',13'l1t\Qteasetrop .' " ,
R:PiZ.'Valy.e,
. ~hamp'Siftk
,diltlWs(Sll1'k
~
."'~
.~
"'---
Misc.
. Fixtures
'.':;';
~'.
: ."'.:' ,'". ,.,~,'.
;""".. '-.~--,-.....' ~- ,.. ."...,--, _.~_.~'.'
Catch B~sili
Wal;hFtn
Urinal
Gar Drain
Soda Disp
eoff~Maker
Ie!! Mak,er
Site Drain .
-RQOf Drain
StatidI', Rec
Ey~-Wl!shStn
. Wtr Sewer'Mtrs
PtduGt Meters
WtrUsil.ge Mtrs
'Electric Contractor '. .' . OR .'J=J~lectri~:In~t1l1ia;ti~~.Veriii:ea~pn:rQtiJl att,ached
..' ~.' .' rJ/u r"eplaeemenl) , ,.
Use fNature of Work //LyA&Z;-'~W ~ ....... .._
Size . Material, . ,Type#'Corul;Type
Sam~ Sewer
. , ti,storm,S'ew:er/'
,Water;Service
~~'~
4/05