HomeMy WebLinkAbout0125111- Plumbing (water heater) unit A
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OSHKOSH
ON THE WATER
Job Address 106 W 9TH AVE
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
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Owner ROBL PROPERTIES LLC
No
125111
Create Date 06/04/2007
Category 411 - Residential-Water Heaters
Contractor O'NEILL ENTERPRISES INC
Plan
Shower Water Softner Wait. St.
Floor Drain Local Waste Ice Chest
Lndry Tray Clothes Wshr Exam Sink
Disposal Bidet Sculry Sink
Dishwasher Beer Tap Hand Sink
Sump Pump Lab Sink Plaster Sink
Class I'm Sink Sterilizer Surgeons Sink
Breakrm Sink Dip Well F Prep Sink
Ejector/Grind Drink Ftn Serv Sink
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtul'es
Use/Nature DUPLEX (RENTAL) / Replace unit A gas water heater. **debt acct
of Wctrk
Va',,"oo _~ C P'ao APP.....' $0.00 Penn" Fees $25.00 0 Pe,mil rOided I
ISSUEld By Q...r.-.L..IbL .
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In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. !
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While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perfor'\'1 the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Size
Material
Shamp Sink Coffee Maker
FlrlWst Sink ~ Int Grease Trap
Catch Basin -r--- Ext Grease Trap
,
Wash Ftn RPZ Valve
Urinal ~ Eye Wash Statn
Standp Rec ---r--- Wtr Sewer Mtrs
Ice Maker --r-
Deduct Meters
Gar Drain Wtr Usage Mtrs
...l..-
Soda Disp
Type
#
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Con~. Type
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Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0301160000
Date 06/04/2007
Date
Agent/Owner
Address 522 W 6TH AVE OSHKOSH WI 54902 - 5916 Telephone Number 920-230-2007
To schedule inspections please call the Inspection Request line at 236-5128 noting the Addres$,Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain eritry), 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.
Plumbing Permit Application
City of Oshkosh
Inspection ServiCes Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084 .
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I hereby apply for a pennit to do and install the following plumbing on the premises hereinafter de~cribed, the work to conform to the
Wisconsin State Plumbing Code, in the perfonnance of which all parties hereto agree to and are bound by said statutes.
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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 be~ng doubled or $100.00 plus the
normal permit fee, which ever is greater. '
OR
ou are a contractor artici atin in the Permit F e Account S
ou want this rocessed throu h
our account .' . it: .
,,,,-j\;k f\ . ~ lJD /_ ;
Value (fuo,." ",,", "'" _'on,I.) . _ _ .. D. ute. (f/' , {n
. Contractor OJ/IJ f'n~ 1!l(!4
~ental DCommercial Dlndustrial
I
Job Address
Owner
DSingle Family
Number ofFixtures~
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater -1-
)lGas 0 Elect 0 PwrVnt
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water SoRner
Local'Waste
Clothes Wshr
Bidet
Beer Tap
Classrrn Sink
Surgeons Sink
Break.rrn Sink
Dip Well
Hose Bibs
Drink Fin 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 8tn
Shamp Sink Wtr Sewer Mtrs
Flr/Wst Sink Deduct Meters
Wtr Usage Mtrs
Misc.
Fixtures
Electric Contractor
OR
DElectric Installatirin Verification form attached
(If Replacement)
Size
Use / Nature of Work
Sanitary Sewer
Stonn Sewer
Water Service
1001100 ~
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