HomeMy WebLinkAbout0124247-Plumbing (water heater)
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.OSHKOSH
ON THE WATER
Job Address 1751 LOMBARD AVE
CITY OF OSHKOSH
No
124247
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner KELLY J HOGAN Create Date 04/16/2007
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 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
/AFR / Replace gas water heater.
.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1611410000
$724.36 Plan Approval
$25.00 0 Permit Voided I
$0.00 Permit Fees
Wnuo
Date 04/16/2007
In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 665 N MAIN ST
OSHKOSH
WI 54901 - 4431 Telephone Number 231-1750
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, TyPe of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Inspection Services Diyision.
POBox 1130
Oshkos~ WI 54903-:1;130"
Phone: (920) 236-565'0 .'
Fax: (920) 236-5084
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Plumbing :Perm~it,)~ppUc.tiOri
I hereby apply for. a.pe~t to do~d .iitst~ll.th(d.ollowing.plw:nbiti~ OMh~:pte~ses hereinafter -desca11ed;.:theiwotk.:to cOnfonn::tf) the
Wiscoi1$inState Pl~bii,lg:Code, in thepeifonnance'ofwhich all,parti~.~et:etIH!g~e.~.tQ and.:arecbourtd by;sai~ statute.s.
. . . .' ..,' .
. . Am>licati()n(s} and f~e(s)' can b~ brought' to City;1l~11~J~:o'Qfu'2;05' ()r."~ile4 tb:'I:nspection.S~c:es;'PQ 'Ilo~:1128;. .
.oshkosh WI S4903~lt2S.. .Commencing. workwithout'per1)1it(s).:will.result"fn fees be~g double(tor $lOO.OOplusthe -
normal pe~Hee, which ever is greater. . h -
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I~ ~ou:are.a .c..on.tra.ctor 'TJarticilJati1ig.i:;r..tife.l'.er.init Fee Account :Sv'S:t.'e.m.anil, have 'a.(I"e(fl.fl.a~e'.l.tl;nJs...cJzeck here
i_ _'ouwant.t'his TJrocessed throufJ.h V6.ur account n .' '. '. . .
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Job'A~dr-e$s \lS \ Lo~~:.~.Jt Val~e (Inctudinglabor~d~t~,;~{,~+,3G,'
Ow-ner ~E:: II 09~A '" -~Contractor . .-
~gle:F~;mjIY DDuplex DM~i.Fa~ily
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..' .OR'. .: : .J:il~ke~rl~)B~~li,ti~ll.~;~e.~!:in;({itm att~ch:ed
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NUd1ber of Fixtures:
Bathtub
Whirlpool
Lavato~
Toilet
Res. Sink
Bar Sink _____.
Watg;.Hcatcr -L-
~Oas.o.BlectO PwrVn't
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
. miSpo~al..
"Dishwasher' . "
Su~p 'pUmp
Ejector/Grind
Water SoRner
Local Was~.
Clothes W$hr
ai.det.
...Beer Tap' .
'C;lassm,"~i,* .
'.Surg~6M.sink
Breakml'$iflk .
'. 'DipWel1
..:...-...-
Misc.
. Fixtures
'. . Electric Contractor
?'~ ~k~
..'.~: .. w.". St .
. ~'.'." .)~eChesl
...:.-- '. ,Exam Sink '.
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::3.~94Y Sink '.. ~. ~
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Use rNature of Work.
. SiZe
j\1~teri,at. .' .
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:.'iJ..;.-','....: :;.CGlin:.:t~,e> :,' . .
Samb!IY Sewer
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, ' ..Wateri~:ervi~e :
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.' .' L~~:~.-.:.~..~~:_,__~~~;
~h Ba~hi .
W~Htn
Urinal
Gar Drain
.Sod.aPi.sp;' .
Co~:M.ake.r
'lc~.Milt.er
.Site'Drain.
. '.Rl)O,tPi:aln
. S..n6p: Rcc.
BYc'W.slt,St,n .
'Wtr~e1'-MtrS
.. D.eoo<<.t Meters
Wir:t1tage Mtrs
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'70~~~<\
4/05