HomeMy WebLinkAbout0124834-Plumbing (water heater)
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OSHKOSH
ON THEWATER
Jo~;Address 1224 WINNEBAGO AVE
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner JEFFREY M ARMSTRONG
Contractor THOMAS PLUMBING
Category 411 - Residential-Water Heaters
Bathtub
Whirlpool
Lavatory
Toillet
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Water Softner Wait. St. Shamp Sink
Local Waste Ice Chest FlrlWst Sink
Clothes Wshr Exam Sink Catch Basin
Bidet Sculry Sink Wash Ftn
^'., , Hand Sink
Beer Tap Urinal
Lab Sink Plaster Sink Standp Rec
Sterilizer Surgeons Sink Ice Maker
Dip Well F Prep Sink Gar Drain
Drink Ftn Serv Sink Soda Disp
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fix1tures
Use/Nature
of Work
No 124834
Create Date 05/17/2007
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Check for proper installation of owner supplied water heater and install control valve downstream of water meter.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0203560000
Valuation
$800.00 Plan Approval
$0.00 Permit Fees
$25.00 0 Permit Voided I
Issued By
Date 05/17/2007
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 hokler(S) Jnd to secure a ecessary approvals before starting such activity.
Signature '///1/1. Date ;:; '-('i-I) 7
Agent/Owner
Oshkosh
Address 849 VINE ST
WI 54901 - 0000 Telephone Number 232-0094
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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
Inspection Services Division
P 6 Box 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
I ou are a contractor artici atin in the Permit Fee Account S
ifvou' want this processed throU'zh your account n
Job Address_/2 Ztt W (l1hgb~L2J6 .'
?
[0Single Family
DDuplex
Value (Including llibor and materials) CS 61) ,OD Date <:.5 - / 7- (!J7
niJ-pI./Ili. 5 Plu /'4. b i htf-
DCommercial DIndustrial
Contractor
Owner
DMulti- Family
DRental
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
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 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
Flr/Wst Sink Deduct Meters
Wtr Usage Mtrs
Bar Sink
Water Heater X
~Gas 0 Elect 0 PwrVnt
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Surgeons Sink
Breakrm Sink
Dip Well
Hose Bibs
Electric Contractor
DElectric Installation Verification fo'rm attached
(lfReplacement)
'I J"
pro IJer ! r7 &:1a-(lP-.J[it57/J
OR
Use / Nature of Work Ck~ IJll
Size Material
Type
c;p LJder H-eaio-- /
Tlll51Vi.4~ . Pi Ol'~ /; (;"'1 /
Conn. Type Ci/d /10-1- f'e.p lCt.cS<.
Sanitary Sewer
#
Storm Sewer
Water Service
11/05