HomeMy WebLinkAbout0124519-Plumbing (water heater)
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(}3HKOSH
ON THE WATER
JobAddress 543 W 14TH AVE
CITY OF OSHKOSH
No
124519
PLUMBING PERMIT ..APPLICATION AND RECORD
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
Owner PHILLIP A1BOBBI J NIKOLAS Create Date 05/01/2007
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 BLAU PLUMBING, INC.
Install gas water heater.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1300910000
Valuation
$25.00 D Permit Voided I
$945.00 Plan Approval
$0.00 Permit Fees
Issued By
Date 05/01/2007
all work pursuant to rules governing the described construction.
force easement restrictions of which it is not a party, if you perform the work
n asement, the City strongly urges the permit applicant to contact the
ary approvals before starting such activity.
1<6 ~ Da~
W FAIRVIEW AVE.
AgenUOwner
MILWAUKEE
Address
WI 53226 - 0000 Telephone Number
To sched 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.
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':I;
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, VVI54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
(I)
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
If YOU are a contractor participating in the Permit Fee Account System and have adequate funds. check here
if you want this vrocessed through your account n
li), } V'!i' ~lue (Including labor and matJrialS) tt q Lf 6 Date
. Q Contractor 6 OJ.) 'fJlo('X\\L); v0j
DDuplex DMulti-Family DRental DCommercial DIndustrial
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Watl7'Heater 1--
~Gas 0 Elect 0 PwrVnt
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Electric Contractor
Use / Nature of Work
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrrn Sink
Surgeons Sink
Breakrrn Sink
Dip Well
Hose Bibs
Drink Ftn Catch Basin
Wait.St. Wash Ftn
Ice Chest Urinal
Exam Sink Gar Drain
Sculry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Comm. 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
FlrlWst Sink Deduct Meters
Wtr Usage Mtrs
OR
DElectric Installation Verification form attached
(If Replacement)
Sanitary Sewer
Type
J/" /1
oJ ,.
(11,qr
~\
d'1J l1/o-J-
Storm Sewer
VV ater Service
Size Material
#
~ZSIOD
('\\ ~ 1\
~
Conn. Type
) {.j j
" f J" \
6-6 ~ n 14..A
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