HomeMy WebLinkAbout0123902-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 819 GRACELAND DR
CITY OF OSHKOSH
No
123902
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner RANDALUDOREEN C MYERS Create Date 03/23/2007
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
Contractor D R GLAZE PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
SFR / Replace gas water heater.
,
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
0617290000
$686.00 Plan Approval
$0.00 Permit Fees
$25.00 D Permit Voided I
Date 03/23/2007
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 1865 JAMES RD
OSHKOSH
WI 54904 - 6873 Telephone Number 920-589-4014
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.
Cily of Oshkosh
lU!lPCChOl\ ~l'"iocs Division
POBox 113H
Oshkosh. WI 5..9tn~ 1130
Phone: (920) 236-5050
Fax: (920) 236.508~
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Plumbing Permit Application
Iltereby apply for .J pemut to do aud instalJ the foJJowing plumbing on the prcmisc~ hcreinaflcr dcscrilxxl the work to COmOlTll fo dll;;
WiSCOllSW State Plumbi.ng Code. in tbe petfonnance of which aU panies .berclo agree to and arc bound b~ said statutes
. AppIication(s) and fee(s) can be brought to City Ball, Room 205 or maiJed to Inspection Services. PO Box II2S,
Oshkosh we 54903'-1128. Commencing \.....ork without pcnnit{s) will result in roes being doubled Qr $100,00 plus the
nonna! p~n11it fcc, which ever is greater.
OR
11 }IOIJ are a c0l71ra(;loy partidpQUnJl in ihe Permil Fee AccounJ .\'1;~Lon .!!.,lJi have adequate funds. ekedr here
If J.'ou 'want 1M... proce.",..ed IhrouJJh IIlJur aCcouht 0
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Job Address ~ C~lrtM0 httlV€'
~ ~-~
Own~T ~'1 J.. WK~ ~~~S Cootrat:tO't
~ngle Family DDuplex OMulti-li'amily
Value (llt.:ltuhllg labor IInd ITlll!lerillt~) cfb g 6 ~
p.r<'GrAc:r (JLEG
o Relllal DCommercial
Date '3.!2D6_~
Olndustrial
Number of Fixtures:
~~
l>rink PIn
Wait..l:>'t.
\<< ~hc.i.
Catch Ra.'itn
WashF!f1
Ullthlllb
\l.:llirlflool
1.1l.....1J'l)'
Toiler
1J15pO'1,,1
lJishwuho:t
"\-:'-)n:/I.'
Rer. Sir.!<
Wal~r SltHlll:r
f'.)(um Sink
Si.:u'ry Sink
Uaud Sink
j" .I\'ep Sink
s.uv Sin)..
Gllr Drab.
S"cjaOi,1-'
(:..ft,=~ Mak....
Cmnm. r..,.., Maler
Site Drain
Roof JJr~iTl
Standp R~..
F.,~ W3Sb SIn
Wtr SeWCJ" MIr.>
F.jel>luf!('1I'ind
l111f Sink
W<lI",;.lJ;.:atar --L
rH'Gas -: f k'C.l rj PwrVllt
Shower
PkX'T Orain
1-,,"0l1 Wa>~
CJutl,cs w.
Rid.:'!
Ltxhy "l~
Lab Sink
f'la.<;t~ Siuk
&'cU'Tnp
ClIlW"IU Sin.li.
Surgt."U!lll Sink
Bt\.'lIktm Sillt.
l)i"We:l1
II ~'~diibl'
fill Grcl4~c .Lt"llP
Lx1 ()H:/l1i~ Tr.~
R.P.J.. Valv<l
ShllmlT Sink
FlriW~t Siuk
LkdurL \fl!!tI!rs
Sleril izc:r
\'!is.;'.
n1l.1.urc:~
WId l!>llgc Mtr,
Electric Cootrador
OR
QElectric IlIstaffation VerificatioJl form a.tached
<'f R~f',&:"".",,,t)
~jJ S~
(~s:..-. Sew.r
I 510rm Sew...
Wafer Service
Si/.e
Material
Type
#
f-bD fftt? (~~~~ ~t).._.~.-
(01111. fV;;C-l
f
q~Y
1-1;;
\
Use' Nature of Work ~LACE
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