HomeMy WebLinkAbout0123714-Plumbing (water heater)
G
OSHKOSH
ON THE WATER
Job Address 655 CENTRAL ST
Contractor M P KELLY
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
CITY OF OSHKOSH
No
123714
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/G ri nd
Owner DONALD J VAJGRT Create Date 03/06/2007
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
SFR / REPLACE GAS WATER HEATER **check #8410
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0704510000
$663.00 Plan Approval
~uJ
$25.00 D Permit Voided I
$0.00 Permit Fees
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
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 (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 5490~.,1130.
PhCine: (920) 236-5050 ..
Fa,,: (920) 236-5084
MArt 0 52001
PI umbing :Perl'l1lt.~Application
.....m...................
'. -. .
'. .
. . '. .
. -
. ,
. .
. , . . . . '. . .
~
I hereby apply for. apennit to do ~d iilst'cillthefol1owingplwnbmg ottthe.jlietnises .hereinafterdescrl~d{tb.eiworkto conform to the
Wisconsin State Plwnbing'Code, in thepeifonnance of which all.partie~' he...eti).~eetQ and.arebouttd bysai~ statute.s.
...
.. ....
. ApplicatiQn(s) and fee(s}ean be broughfto City;Half~.~oorii..to5 6r:ma,ileq i~".Jnspection.Servi~s~POJ:3oJt.n28,
.oshkosh WI 54903-1 t2S. . Commencing work without'pern:1it(s}willtesult-iri fees beiI)g doubled or $1'00.00 plus the
normal pern:rlHee, which ever is greater.. . .
OR . .. . .
If vouare acon.tractorparticipating.intlfe Permit Fee ACCotl1i,t:Sv-sJe-mand b-aveddequat;e1unds..check here
ifvouwantthis 1Jrocessed thro-ugh v6.Ur ac~oimt n .... . ... . .... .
. .
:'~dr.~ ~CoDtractor
i..gleFamily DDuplex DMlI\Iti~Fa~ily
El~ctric Contractor '. . . .. . .,'. .OR .t]~k~tli:ri..~B~~ii~ti~llf\leiiii~:ti!inJ.rOttn att~cbed
us.r~.mre ofW~k ~~ .~... 'ttR~~~)... ...
SiZe . ::Materia(.1'ype'. . .'#.' . ,: C6nn:: Type
Nuntber of-Fixtures:
Bathtub
Whirlpool
Lavato!')'
Toilet
Res. Sink
Bar Sink _.
Water~ i-
~.oEleetO PWTVrit
Snower
Ftoor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
,Dispo~al. .
'-Dishwasher ' ..
Sump Pump
EjectortGrind
Water Softner
Local Waste
Clothes W$hr
Ilidet
Beer Tap
'GlassmfSinJ(
'.Surg~on~'Sink
. Breakmt Sil'lk
Dip Well
Drink Fm
Wait.St.
Ice Chest
,Exam Sink
---
..'.- ,.." .
--'----
. . .~;~i;:.:..,...: <',
. :F'Prep Sink .. ______
. ,':S(:rv.~lnk . . ~.
; Thi:Q.re.as.e Trap:.: :.':~
.....,&iG~se:ji'ap:.:.....~
:R.'p'iZ.:Valvc : .
..~natnp:Sink
. .. )JntlWs(Slrjk ..'
. .'---:--'
.~
~
-'----
Misc.
. Fixtures
.'
..' ......
Samtl!ry S'ewer
',i'iStoan:SeW.er:/' .
.W&teri~erViCe
.'.
. ,'." . .
, ','
. .J}ItteJi Y~'1
.....;...;':;'...
. .~'DIIldttstM'i::c.> .'~
. L~'~~~_~;:_..., :.:~__._~~~'
Catch Basin
WashFtn
Urinlll
Gar Drain
.Soda Di~ .
eolfee Makt:r
. Ic~ Mil!(er
. SileOniin
R~fpi:ain
S~r)tJp, Ree
. EyeW.shStn
. Wtr SeweJ"Mtrs
pcdut;t Meters
. W:trUsage Mtrs
.....;....... S
o
4/05