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HomeMy WebLinkAbout0123748-Plumbing (water heater) o OSHKOSH ON TI4E WATER Job Address 438 W 11TH AVE CITY OF OSHKOSH No 123748 PLUMBING PERMIT - APPLICATION AND RECORD Owner MATTHEW LEBOUTON/JACQUELlNE DUSHEN Create Date 03/09/2007 Contractor JOHN E MEYER CO Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Valuation Issued By Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Category 410 - Residential-Interior 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 Scurry 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 J\dd 2nd floor bathroom and install new gas water heater. Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcelld # 0906480000 $3,100.00 Plan Approval $0.00 Permit Fees $28.00 0 Permit Voided I Date 03/09/2007 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 a 'on within an easement, the City strongly urges the permit applicant to contact the easement holder(s) a to secu an ecessary a pr als before starting such activity. Signature Address Date ~-cf--o 7 WI 54903 - 2783 Telephone Number 235-2300 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 ~P 0 Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 ~ 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 bound 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 [fyou are a contractor participatinf! in the Permit Fee Account System and have adeQuate funds. check here if YOU want this processed through your account n Job Address V3% W l t I rlf Owner /lIlftr U lilt; r"~ )XJSingle Family DDuplex Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater I 1( Gas 0 Elect 0 PwrVnt Shower ~ -L -L Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Electric Contractor Use I Nature of Work rf)J Value (Including labor and materials) 3/tJO Date 5 -j"fJ 7 Contractor ::;:;?fA./ L JAE'/Ee G DMulti-Family DRental DCommercial Dlndustrial Disposal Dishwasher Sump Pump Ejector/Grind 'Water Softner Local Waste Clothes Wshr Bidet Beer Tap Classrm Sink Surgeons Sink Breakrm 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 Corom. Ice 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 F1r/Wst Sink Deduct Meters Wtr Usage Mtrs /JJd )eC.putf OR DElectric Installation Verification form attached (If Replacement) ./Z;(/Y b~ f1, C & rJ {tlC,o AJOi jJ~ ~r fI Conn. Type Sanitary Sewer Storm Sewer Water Service Size Material Type # Ujos