HomeMy WebLinkAbout0125756-Plumbing (water heater)
G
OSHKOSH
ON THE WATER
Job Address 1741 N MAIN ST
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
CITY OF OSHKOSH
No
125756
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner WilLIAM/PAULA TEllOCK 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
rFR I R'pla"" gas wale, hoale'.
I
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1502440000
$670.00 Plan Approval
~
$0.00 Permit Fees
$25.00 0 Permit Voided I
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
WI 54901 - 4431 Telephone Number 231-1750
Address 665 N MAl N ST
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
'"
~
OJHKOfH
. i ON THE WATER
JobAddre~s / 7 '// ;/ rJ1 /lid'
Owner ?!/;,q /J Ce 1651- Contraetor
DSingle Family DDupl... .. DM.uJti-Family
Dare 0/ t)r;
Plumbing Permit Application
I hereby apply for a permit to do and install the following plwnbing on theprenrises hereinafter described, the work to COnfonnto the
Wisconsin State Plwnbing Code, in the performance of which all parties hereto agree tq and are bound by said statutes.
· Application(s) and fee(s) can be brought'to City Hall, Room 205 Qrma.iledfoInspectionServices, PO Box il28,
Oshkosh WI 54903-1128. Commencing work without pennit(s) will re&ultin fees being doubled or $100.00 pl~ the
nonnal permit fee, which ever is greater.
OR ~.
I ou are a contractor artici atinihthe Permit Fee Account Sstem and have ade check here
if yOU want this processed through Vour account n
Number of Fixtures:
Bathtlib
Whirlpool
Lavatory
Toilet
Wa Heater I
GasO Elect 0 PwrVnt
Shower
Floor Drain
. Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Surgeons Sink
Breakrm Sitik
Dip Well
DrinkFtn
Wait.St.
Ice Chest
Exam Sink
.S~41ry Sink
B~!1~'~.i~~
F Prep Sink
Serv Sink
Int qr<<<ase Trap
Ext.GreaseTtap
R.P.Z. Valve
.s.hampSink
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
Wtr1;Jsage Mtrs
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Electric Contractor
Use I Nature of Work
" . . - '.
OR OEIectricIn.stallation.. Verificati()nJorm attached
_ ~'P'''_l) .
Sanitary Sewer
Type
#
COlm.Type
0~
t
'd-
\
Storm Sewer
WaterService
4/05