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HomeMy WebLinkAbout0124326-Plumbing (water heater) . OSHKOSH ON THE WATER Job Address 409 ALGOMA BLVD Contractor D.R. HANSEN PLBG. CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner SANDYS OF OSHKOSH INC Category 441 - Industrial-Water Heaters Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Lab Sink Sterilizer Dip Well Drink Ftn Shamp Sink FlrlWst Sink Catch Basin Wash Ftn Urinal Standp Rec Ice Maker Gar Drain Soda Disp Wait. St. Ice Chest Exam Sink Sculry Sink Hand Sink Plaster Sink Surgeons Sink F Prep Sink Serv Sink No 124326 Create Date 04/20/2007 Plan Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Replace gas water heater. Debit acct Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcelld # 0102080000 Valuation $1,000.00 $0.00 $25.00 0 Permit Voided I Permit Fees Plan Approval Issued By Date 04/20/2007 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 Address 55 KNAPP ST Agent/Owner OSHKOSH WI 54902 - 3448 Telephone Number 233-1595 Date 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 I:p,~pection Services Division P~OBox 1130 Oshkosh, VVI54903-1130 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 VVisconsin 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 I ou are a contractor artici atin in the Permit Eee Account S ou want this rocessed throuh our account Job Address '-/0 q A L&o VV\ A. Value (Including labor and materials) / GoO o~ DateL/lz_c~7 Owner .. II A rLOE e: S Contractor 1) 2 ~ 1-1 A",- L C6. (;t./'o ' , DSingle Family DDuplex DMulti-Family DRental ~ommercial DIndustrial Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink --.-- \Vater Heater -L- XGas 0 Elect 0 PwrVnt Shower Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Disposal Dishwasher Sump Pump Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Classrm Sink 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 Comrn. 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 FlrlWst Sink Deduct Meters Wtr Usage Mtrs Surgeons Sink Breakrm Sink DipWelJ Hose Bibs Electric Contractor OR DElectric Installation Verification form attached (If Replacement) Use / Nature of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer VV ater Service 11/05