HomeMy WebLinkAbout0124433-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 443 W 1 OTH AVE
CITY OF OSHKOSH
No
124433
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
1 Classrm Sink
Breakrm Sink
Ejector/Grind
Owner CHRIS R1JANET F HOLZER Create Date 04/26/2007
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 WATTERS 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. **DEBIT ACCT**.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0906350000
$1,319.00 Plan Approval
~
$0.00 Permit Fees
$25.00 D Permit Voided I
Date 04/26/2007
. 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
MENASHA
Address PO BOX 118
WI 54952 - 0118 Telephone Number 920-733-8125
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.
:-:04/26/2007 THU 10:49
:::. . \ -1 OC\1--- .
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FAX 920 733 2713 WATTERS PLUMBING ......... City of Oshkosh
~001/001
City of Oshkosh
Inspection Services Division
POBox 1 130
Oshkosh, WI 54903- I 130
Phone: (920) 236-5050
Fax: (920) 236-5084
~
OfHKOJH
ON 'THr: "VATER
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 HaIl, 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 penn it fee, which ever is greater.
OR
I in the Permit Frl Account S
our account
Job Address 44~ lO~ AVe". Value (Including labor and materials) .f l310j Date-=i.2(",Ot
Ow~r NUiV~Vl~ (.,\C2nj~ c!~~ractorW~tteyJ. t'lUVVtb-I\;5 Ih.c,.
[j6Single Family DDuplex DMulti-Family DRental OCommercial Dlndustrial
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Healer -1-
VGas [1 Elect D 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
Surgeons Sink
Breakrm Sink
Dip Well
Hose Bibs
Drink FIn
WaiL St
lee Chest
Exam Sink
Sculry Sink
Hand Sink
F Prep Sink
Serv Sink
[m Grease Trap
Exl Grease Trap
KP.Z. Valve
Shamp Sink
Flr/Wst Sink
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Comm. Ice Maker
Site Drain
Roof Drain
Standp Rec
Eye Wash SIn
Wtr Sewer Mtrs.
Deduct Meters
Wtr Usage Mtrs
Electric Contractor
OR
DElectric Installation Verification form attached
(If Replacement)
Use / Nature of Work
Size
Material
Type
#
Conn. Type
1;0
t\q
\1
Sanitary Sewer
Storm Sewer
Water Service
CoJJ (J~/aw
# 2:2.0 t;-tD
0sJ
11/05