HomeMy WebLinkAbout0125394-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 1470 PHEASANT CREEK DR
CITY OF OSHKOSH
No
125394
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner BRIAN A1CRYST AL L TRA TZ Create Date 06/19/2007
Category 411 - Residential-Water Heaters Plan
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest Flr/Wst 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 #
1343490000
$1,139.00 Plan Approval
~
$0.00
$25.00 D Permit Voided I
Permit Fees
Date 06/19/2007
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.
x
*
City of O!;hkosh
Inspect.ion Sc:1rvjec~ Divildol1
POBox 1130
Oshkosh, WT 54903.. 1130
Phone:(920)2J~5050
Fax; (9:20) 236-5084
~
D~~~Q.tD
P~umbing Permwt Applicat]on
1 hct'l!Jby apply for a permit to do and inst,a,11 th~ following pl'llmbing 011 the premir,efJ he:I'einafter de~cribed, the work to confol1l1 to (;h<;
Wrscol1sit, State Plumbing Code, in tht;; pcrfor\11:;mcc of which l.l.1l p~rhcs hereto r;l;gree to f.l.l1d are hound by !:laid !;1ta1:11tC(l.
., AppHcation(.s) and f<!:c(s) (1::1.1' be bnmgM I;() City Hall, Rnom 205 or mailed f:() ]m:pccti<m Services, PO Bo)(1128,
Oshkosh WI 54903-112&, COl'l1mendl'g W0l'k "l'itholl1: pcrmit(::;) will rest]lt in fec:,,: being dOl.lbled or $100,00 plus the
nonnal pCn11it fee, which ever is gre<l.ter,
OR
If...)' f! !LJll.fLfL.$;.SU1iJ:'r.!.P tal' .J} a, r.!..l&!J2 (J tin iL).JLI)1.tLE ~'.,r:Jl1J.l f' '(1 CU1Ji...(LQXnL.Sy,yjg..rJ1. gn (I h a,J!.,f!...flJ!gg)li!.1fljj~ 11!.i'i.>.-,.r;iJ e c Ie It (1 r JI
f,f..Y..J11Ljj!JllJ.J.JbJs-!21:.P c e,~ S 12 tl t It 1.:ill!..?.,../UL9)~J.~..9C;lU'lli!1.L.D
.Job Addct-4JiJYP.e.~~ Val.. (I""""", I.""."", "".0",,_..0_39~ l).'~J{,-/K61
~w)er ~~L--r~-,~~.__ Com~:rattM. ~~g~10.rr.:~.hin.Q\7__~"-
l~nlD.g~e F~1lJiIlU1y Dl)nr.~~~e'" DM~nW-1F~.nTrnn~y DRe1lTi11~H [JCo>mmen~iaX DI1!l~gtraal
NUlmber ~)lrFj:xt~ues:
.BA1.hl,lIh
Whirlpl\(\t
LllV nf:Clry
To 1I et.
RCR.mnl(
[)i.~I\():lld T)rill~ FI.rI Clltl'(, 13f1~in
Disl1wm;hcl' W:li1.,SI.. Wcmhl"tn
S\\In)1 P1.11\'\p Ice Clll:~1 UI'ht11!
F:i<:c1ImYGrin[[ '1';)(11111 ~illk Om'l)rnill
\lIf\'ler Silft11Cl' Senlty Sill!C S(\(ln, Di~p
1.0cnl W(I~lc HlI\1(f Sink CfllTc,:~. Mnkllr
Cll)th,).~ W~hr PI'ml'Sinlc t:omm lne M~kc1"
BI(II~I: RC,'I'" Milll, Site 1)r:\i n
Beer Tn,) rnt Grell.~c '1"1"111 Rc)('I'fOmin
CI'I~srl11 Rinlc hd (1re:1f<<l 'I'I'I)P SI~~(I[lRr.(:
l$t.lr(:tmnN ~Ink R,P.7.. VlIlvo: Eyr.WMh~tIl
T'irml.kl'111 ::;;,,1( RhHl11p Sink Wlr "'ewer Mtr...
Pip Well ,o'lr/W.qt ~il1k r)~dn(:( Mcl:ort:
r.ln~c Hil1~ WCr U~:\g(l Mlr.~
H~I'Sinr(
Wnt9' l'lcntt.r ...,. _,L.
"V'nllH II Elc,:1: l~rVI1'.
Shower
flloM r)min
T,l1dryTmy
T..~h .'link
PI~~I:~r Si!iK-
:'itcrili7.or
MiH(~,
Phct1lrc~
F..~ectt"k GtJlJntrac~:{Jr
'-"""'r~"-'"'''' ..--...
..-b.~\-'Pr-
OR O.E~edldc Jn$t.aRD:lllfi~1IJ\ Veriitk~tA(Prm form at4:.$(:ll1Ied
(1f'"Rcpll\I.:Cl'I1cnl;)
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Use / N 8.tR~ fe of W t\'JIli"k
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Matcri<d T~;p;--"'''- ,. .#--"-"'--c.:;;;;-'~;p~--
Size
Sanitary Sewer
Storm Sewer
.~/1 if
\1,0
Water Service
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