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Home My WebLink About0124325-Plumbing (water heater) G . OSHKOSH ON THE WATER Job Address 420 JACKSON ST .~ CITY OF OSHKOSH No 124325 PLUMBING PERMIT - APPLICATION AND RECORD Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Owner CITY OF OSHKOSH Create Date 04/20/2007 Category 441 - Industrial-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. HANSEN PLBG. Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Valuation Issued By Replace electric water heater. EIV City of Oshkosh. Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcelld # 0701340000 $1,200.00 $0.00 $0.00 0 Permit Voided I Plan Approval Permit Fees 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 Date Agent/Owner OSHKOSH Address 55 KNAPP ST WI 54902 - 3448 Telephone Number 233-1595 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. F City of Oshkosh Inspection Services Division POBox 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 Darticipatinf! in the Permit Fee Account System and have adequate funds. check here if yOU want this processed through your account n <S ().d<JlJ" 5' t. Job Address Lf20 -4 L- 6 6vv;,A>-. Value (Including labor and materials) / 2-<9(1 .' Owner C / T-Y b-f a 111/-oS:.H Contractor p J?..- I-/Akl <; ~ ~ DSingle Family DDuplex DMulti-Family DRental ~ommercial ~ \4. {e..v':J €: vVr . DateY! '- 0/0/ Dlndustrial O.PD , Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water H~ I o Ga~lect 0 PwrVnt Shower Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Disposal Dishwasher Sump Pump Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Classnn 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 Camm. Ice Maker Serv Sink Site Drain Int Grease Trap Roof Drain Ext Grease Trap - Standp Rec R.P.Z. Valve Eye Wash Stn Shamp Sink Wtr Sewer Mtrs Flr/Wst Sink Deduct Meters Wtr Usage Mtrs Surgeons Sink Breakrm Sink Dip Well Hose Bibs Misc. Fixtures tyj DElectric Installation Verification f~rm attached (lfReplacement) Electric Contractor Use / Nature of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service nlos