HomeMy WebLinkAbout0125752-Plumbing (water heater)
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OSHKOSH
ON THE WATER
JobAddress 1419ENEVADAAVE
PLUMBING PERMIT - APPLICATION AND RECORD
CITY OF OSHKOSH No 125752
Owner ROBERT/BARBARA SWAN Create Date 07/12/2007
Plan
Contractor M P KELLY
Category 411 - Residential-Water Heaters
Bathtub Shower Water Softner Wait. St. Shamp Sink
Whirlpool Floor Drain Local Waste Ice Chest Flr/Wst Sink
Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin
Toilet Disposal Bidet Sculry Sink Wash Ftn
Res. Sink Dishwasher Beer Tap Hand Sink Urinal
Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec
Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker
Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain
Roof Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp
Misc.
Fixtures
Use/Nature SFR / Replace gas water heater.
of Work
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Size
Conn. Type
Material
Type
#
Sanitary Sewer
Storm Sewer
Water Service
Valuation
$825.00 Plan Approval
t2nt~
$0.00
$25.00 0 Permit Voided I
Permit Fees
Issued By
Parcelld #
1513150000
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
Address 665 N MAl N ST
OSHKOSH
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 (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
POBox 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 broughito CityHall,Room205ormailedt6Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work withoutpermit(s )will result in fees being doubled or $100. 00 plu~ the
normal permit fee, which ever is greateL
OR
~~ ~.~~i:aen~ t~~;;;:;~;s:~r:~~~ua;~n:o~n/::c=~:~iKee Accoun~Svsiemand have adetluatelunds.
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Job Address / f/? (!: d ~~e (Including labor and materials)
Ow,t &~~StiAJll-t-eontractor
~ingle Family DDuplex DMulti-Family
(J/~;
Date 1'-O~:7
f:.... .'
Number of Fixtures:
,.
"
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Surgeons Sink
BreakrmSilik
Dip Well
DrinkFtn
Wait.St.
Ice Chest
Exam Sink
S,c;ulry Sink
Hang'*!rls ;
F Prep Sink
Serv Sink
Intqrease Trap
:ExtGreaseTrap
R.P;Z. Valve
~hampSink
:E1rlWstSink
Catch Basin
Wash Ftn
Urinal
Gar Drain
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
g. er Heater I
"'" :0 Elm 0 ","Vn'
hower _
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
~
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Rec
EyeWashStn
Wtr SewerMtrs
Deduct Meters
WtrJJsage Mtrs
,'~
Sterilizer
Misc.
Fixtures
.... ,
DElectricInstallation .Verificath:m. form attached
[Replacement) .',
Use I Nature ofWor
Material
Type
..Corin.Type
GY
1\
Cl;
Electric Contractor
Sanitary Sewer
$torm.Sewer
Water Service
4/05