HomeMy WebLinkAbout0125711-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 1112 TAFT AVE
CITY OF OSHKOSH
No
125711
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner DAVID L DARABOSH/RITA STIEG Create Date 07/10/2007
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 LARRY HANSEN PLBG
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
SFR /INSTALL GAS WATER HEATER **check #15441
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1606040000
Issued By
$500.00
~~
"""
Date 07/10/2007
Plan Approval
$0.00
Permit Fees
$25.00 0 Permit Voided I
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
GREENVILLE
Address N-1044 TOWER VIEW DR
WI 54942 - 8683 Telephone Number 920-757-6863
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
May. 14. LJ07 12:06PM
City of Oshkosh
Inspection Services Division
POBox 1130
O$hkQsh, WI 54903-1130
Phone: (920)236-5050
PI>>;: (920) 236-5084
i~spection suvlces
rh2607 P. 1
~
D~tKQfR
Plumbing Permit Application
1 hereby apply for a pennit to de and install the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State P lurnbmg Code, in the performance of which all parties hereto agree to and are bound by said statutes.
· Applieation(s) and feces) can be brought to City Hall, Room 205 or mailed to Inspection Senrices, PO Box 1128,
Oshkosh WI 54903-1128. Comm.encing work without pennit(s) will re~u1t in fees bi:ing doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
~rvou are a contractor lJarticilJafiflf ill the Permit Fefl ACCOUlIf System and have adt'qlJ.fl.te funds. check here
Ifyoz( want thir processed thrOUfllf your aCCount 0
Job Address \ \ \ ~ --"'0+ .~
Owner fu('Q tl0""DY\
J8tgingle Family DDuplex
~t ValUeCInCludins1300f300ln:llerialS).5M ft ro Date_:1 ~S-a,
Contractor L()~o~ (1
DMulti-Family DRental DCommercial Dlndustrial
Number of Fixtures:
B.ath1:'.1b
Whirlpool
LavlltOry
TQiltt
Res. Sink
Bar Sirtk __
V~er 1I"'~1=r --1-.
9\ Ga~ 0 E1e~t u PwrVnt
Shower
Floor Drain
. "r.1diy Tray
Lab Sink
Plaster Sink
Sierili:t=r
MiliU.
DispO&1l1
Dish~:ihc:r
Sump P~mp
Ejector/Grind
Warer Sotb1er
Local Waste
Clothes Wshr
Bidet
Drink Ftn Catch Basin
Wait Sl Wash Fm
lee Cliett Urinal
eUm5inl< Gar Dnlin
Scclly Sink Soda Dilip
Hane Sink Ccflb Maker
?' Prep Sink Cumm. Ice Maler
Scrv Sink Sill': Drain
inl Grease Trdp Roof Drain
Ext GreMe Trap Standp ~c
R.p.z. Valve Eye Wash 3m
Shalllp Sink \'111 Sew".r Mtl's
FldWsl Sink Deduct Morters
WIT Usage MlrS
BlltlI'lap
Cla.s.mn Sink;
SurSel1l\S Sink:
Brcamn Sir.1e
nip Well
Hose Bib:!
F"ix:urcs
Electric Contractor
QE
DElectric Installation Verification form attached
(IfReplllc~r:=t)
''Cse / ~ature of Work.
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
, Water Scr-vice
I
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.-.J
1.:'/05