HomeMy WebLinkAbout0125755-Plumbing (water heater)
G
OSHKOSH
ON THE WATER
Job Address 1603 INDIGO DR
CITY OF OSHKOSH
No
125755
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner SHEll MALONEY Create Date 07/12/2007
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 M P KELLY
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 electric water heater. EIV provided by T Ruck Electric.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1307310100
$792.00
$0.00
Plan Approval
Permit Fees
$25.00 0 Permit Voided I
thu/O
Date 07/12/2007
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
OSHKOSH
Address 665 N MAIN ST
WI 54901 - 4431 Telephone Number 231-1750
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.
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
~
OJHKOJR
ON THE WATER
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on theprelllises hereinafter described, the work to co~onnto the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes.
· AppIication(s) and fee(s) can be brought'to CitylIall,Room:205or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work withoutpennit(s) willtesultin fees being doubled or $1 00.00 plu~the
nonnal permit fee, which ever is greater.
~ ~
Iouare a contractor artici atin in the Permit Fee Account Ssiemand have ade check here
ifvou want this ,processed throuf!h;our account n '
Date0}/~
Number of Fixtures:
Plaster Sink
Sterilizer
Misc.
Fixtures
~
,
, Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classnn Sink
Surgeons Sink
BreaknnSihk
DipWelJ
~
DtinkFtn
Wait.St.
Ice Chest
Exam Sink
$cu1ry Sink
aan4'Sil1~.
F Prep Sink
Serv Sink
JntQrease,Trap
EXLGreaseTrap
KP,Z.Valve
~harnpSink
FlrlWstSink
~
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Rec
EyeWashStn
Wtr Sewer Mtrs
Deduct Meters
WtrIJsage Mtrs
j
I
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater /I
o GasQ.E(eCt 0 PwrVnt
Shower
Floor Drain
Lndry Tray,
Lab Sink
.~
Electric Contractor
tm
IectricInstaJlation Verificati(),n .,'form attached
,,(If Repla(:ement}
Use I Nature ofWorIi
Sanitary Sewer
Type
#
Conn. Type
h
,,6
'e1
(J
'Storm, Sewer
WaterService
4/05
Dec 05 00 12:06p
Code Enforcement
820-236-5084
p. 1
(f)
OJHKOIH
ON THe WATER
City of Oshkosh
Division of Impection Scrvice$
215 Ch=h Avenue
PO Box 1130
Oshkosh WI 54902-1130
OffICe 920-236-5050
Fax 920-236-5084
Electric Installation Verification
(1) (We)
--rtf(~ elE-(l}kJ~ ----
. (Ele trical Contractor Name)
U ?O WCCS+ 3uL /tr;.p
(Address) (City)
at the following address:
~ It/.r 5?trP-
(State). (Zip Code)
.
have been contracted to perform electric installation work for
The nature of the work consists of: (Check One or Describe the Nature of Work)
v
Reconnection or new circuit for replacement Heating Plant and/or Ale Condenser.
Reconnection or new circuit for replacement Electric Water Heater.
Reconnection ofthe Service Entrance Cable, Meter Box, alterations to receptacles and
lighting fixtures due to siding / soffit installation. Note: New Service Entrance
Cables will require a separate permit.
. Reconnection or new circuit for other pennanently wired appliances / fixtures.
Other
The value of this work is $ / 00 ~O 0
I hereby verify this work will be perfonned by an employee of this company and further verify the
reconnection / installation will be done in compliance with manufacturer and Electric code
requirements.
(Date)