HomeMy WebLinkAbout0124789-Plumbing (water heater)
e
OSHKOSH
ON THE WATER
Job Address 403 N LARK ST
COllltractor MR ROOTER OF THE FOX VALLEY
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature SFR / Replace gas water heater. NOTE: Chris Hammond purchased home on 3/5/07. ""DEBIT ACCr".
of Work
Valuation
Issued By
CITY OF OSHKOSH No 124789
PLUMBING PERMIT-APPLICATION AND RECORD
Owner JOHN UCAROL YN H HAMMOND Create Date 05/15/2007
Category 411 - Residential-Water Heaters
Plan
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
Wait. St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
Shamp Sink
FlrlWst Sink
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Catch Basin
Wash Ftn
.'Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1609620000
$650.00 Plan Approval
~/O
$0.00 Permit Fees
$25.00 D Permit Voided I
Date 05/15/2007
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
Address PO BOX 1141
APPLETON
WI 54912 -1141 Telephone Number 920-687-9178
1"0 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.
~
05/15/2007 1e:16
'320687'3407
tvlR ROOTER
PAGE 01
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903--1130
Phone: (920) 236--5050
Fax: (920) 236-50&4
~..
~OJB
o WATER
Plumbing Permit Application
1 hereby apply fur a permit to do and install the fuIIowiDg pltnnbing 0I11he premises: ~ dcsaibed. !he'work to ccmform to the
Wisconsin State p~ Code, in the ped"onTlllnN'! ofwbicb. all 'patties hcrctn ~ to aod ~ bowkl by :said snuutcs.
· 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. Commencir\g ~outpe:rmit(s) will result in fees being doubled or $100.00 plus tile '
noonal permit fee. which ever:is gr:eater. .
OR
~~ ;:: '':a:: t~~;~::::;~::k;~~a;i1f;(}~r ~:~~:~T~e. Mco.unt System and ,have. ~~~~Utl~ FU~ds~"Check her.e ,'.
'JObAdd~s-1{)3. fJ I la-v-l
Owner ChriS J-k."", M O'r\.cl. Contractor
ringle Family' . ODnplex. OMnJti..FomIIy
'. r.50-0-
'Value (1lIc.IucHnglaborlllldnall:rlals) 0 0:. ":. " ; , Date
MR-. ~P(~~0:!~'
, ClReld:aJ. DComin~clal' ~, OJi~ustr.:l~C ;'; ~': : ,:, "
5/15!1
. . " ~ '....
Number of FixtUres:
:. ~ ~': ~.~.....~ ~l. t F"
..
..... ...'"
- . :.. ~ .:~.
BalbWb
:w:hirip~I
L8wtory
Toilet
I>iqloW :
Dlshwuher
Sump Pwnp
8jcclrJrlOrlnd
Water'Sotluer
LoeaI WJl6tc
Clothes Wtihr
Bidet
~Tap
CI;asmn Sink
Surgeons Sink: '
Breaknn Sink
:Dip WeD
IJoseBibs
Drink FIn
WaJt.St.
Ice Chel:t
.Elcatn Sink
$cub)' Sink:
Hand Sink
F Prep Sink
Smv Sink
'&rt. Grease 1'ntp
5n Grease Tnp
R.P.z. Valve
8~ Sitlk
flrfWst Sink
-.
. .:: . CalclI Basin
. Wash Ftn
Urina:I
Gm- Dmin
Soda Di$p
Cofiae MIkcr
Cl:nmn. Ice Maker
Silt Drain
RoofDmn
Sbmdp l<<lc
S~ WISh Sin
WtrSewer Mil'll
Deduct:M~
Wit ~ Mus
R$:s. Sink
&rSink
Wsta' Hea=- -4-
i( G$. 0 Elect 0 !>wrVnt
Shower
Floor Drain
Llldry Amy:
Lab S"mIc:
PIIl!ltDt Sink
Slm1i2Cll;
Mltlc.
fixtures
Electric Contractor
OR []Electric' Installation VerlficatioD form attached
(If'Rep~t)
Use I Nature of Work
Size
Material
Type
#
_l/ fJ (J'(€. :.
CoM. Type "ch(,l~ ~"'" f'A () n.)
pv-re-iAd.StZJ h~t-(~ ff'-t~'\
. 315 4;<J07 I ~~/j
,-8 11/00;
Sanitary Sewer
Stonn Sewer
Watm- Sen>icc