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Home My WebLink About0122542-Plumbing (water heater) o OSHK-QSH ON THE WATER Job Address 538 MADISON ST CITY OF OSHKOSH No 122542 PLUMBING PERMIT - APPLICATION AND RECORD Owner JOHN/GEORGETTE BODNAR Create Date 11/14/2006 Plan Contractor M P KELLY Category 411 - Residential-Water Heaters Bathtub Shower Water Softner Wait. St. Shamp Sink Whirlpool Floor Drain Local Waste Ice Chest FlrJWst Sink Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin Toilet Disposal Bidet Sculry Sink Wash Ftn Res. Sink Dishwasher Beer Tap Hand Sink Urinal Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain Roof Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp Misc. Fixtures Use/Nature SFRlReplace gas water heater. of Work Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs --1 I Size Conn. Type Material Type # Sanitary Sewer Storm Sewer Water Service Valuation $665.00 Plan Approval _ $0.00 Permit Fees (;Ja~ $25.00 0 Permit Voided I Issued By Parcelld # 0401580000 Date 11/14/2006 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 665 N MAIN ST OSHKOSH 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 r 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 pennit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR If you are a contractor participating in the Permit Fee Account System and have adequate funds. check here if you want thisvrocessed through your account n . Job Address S3 S !f};+.tJJ.Q;--A-. Owner .::JOHN &.a,y ,<}-L Contractor ~gle Family DDupIex DMulti-Family Value (Including labor and materials) &~OO Date IOk 7/rtJ , N. Main, Oshkosh DlndustriaI M.P. Kelly, Inc. 665 DRentaI DCommercial r'LN1!ID1>e!~I ~i:K:tures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Wa~Heater -L JifGas 0 Elect 0 PwrVnt Shower Fioor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Disposal Dishwasher Sump Pump Ejector/Grind Water SoftiJer Local Waste Clothes Wshr Bidet Beer Tap Classnn Sink Surgeons Sink Breakrm Sink Dip Well Drink Ftrl. Catch Basin Wait.St. Wash Ftn Ice Chest Urinal Exam Sink Gar Drain Sculry Sink Soda Disp Hand Sink Coffee Maker F Prep Sink lee Maker Serv Sink Site Drain lnt Grease Trap Roof Drain Ext Grease T E ~ R.P.Z. Valve... Stn ~hamp Sink Wtr Sewer Mtrs FlrlWst Sink N9V-1 4 2006 Deduct Meters Electric Contractor OR ,- Wtr Usage Mtrs DtPf\RTMENT OF <'u"nM"~"~.. DE~Lo~m,I!~JT \.. 'fJHvHr~ Y . '" ~ I'#! '4 DEIectric 'tnstaUation . en Ica on form att?lched fp.. . (If Replacement) . \ I ~ _ (If A . \ ~ \t , ~\ \., 'f~/). \\\'\}f"'i.?!O fJ-1-- \ Use I Nature of Work ;).f}.. !LljL aJ~.. I~ Size Material Type # Conn. Type r " Sanitary Sewer Storm Sewer /" ,,~ <) ,,Y Water Service 4/05