HomeMy WebLinkAbout0126134-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 3735 3737 WESTERN CT
CITY OF OSHKOSH
No
126134
PLUMBING PERMIT - APPLICATION AND RECORD
Owner OAK FOREST INVESTMENT INC
Create Date
08/07/2007
Contractor LARRY HANSEN PLBG
Category 411 - Residential-Water Heaters
Plan
Bathtub Shower Water Softner Wait. St. Shamp Sink
Whirlpool Floor Drain Local Waste Ice Chest FlrlWst 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 Duplex #3735/ 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
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1261150000
$25.00 D Permit Voided I
Issued By
$550.00 Plan Approval
~~
$0.00
Permit Fees
Valuation
Date 08/07/2007
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
Address N-1044 TOWER VIEW DR
Agent/Owner
GREENVILLE
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. 2J07 12:J6PNl
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236.50S0
Fax: (920)236.5084
i~spectlon snvlns
NJ.260/ P. 1
4 ~S.OD ~
DJHKQjH
ON rrl6 WATIi~
Plumbing Permit Application
l hereby apply for a permit to de and install the! foHowing plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State PJu:mhiDg Code, in the pezfonnance of which all parties hereto agree to and are bound by said statutes.
· Application(s) and feces) can be brought to City Hall, Room 20.5 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without penn1t(s) will result in fees being doubled or $100.00 plus the
normal pennit fee. which ever is greater.
OR
{{YOU are a contractor oarticipatirtg in the Permit Fell Accounr System and have adequate funds. check here
[(YOU waitt this processed thrOU'lh .'our aC:C:Ount 0
Job Address 3(3 '5 11~~ ~-kr-n U
Owner .,.)\1:'0 C'"')fD7liA:fUQ:is Contractor
DSingle Family [jDuplex DMulti-Family
ValUe(lneludinglaoor~ndml1tt:tiaIS) 5 5C) ~ 0{') Date '"1-. ~0=dl
La yn+li0tn~ VI
DRental DCommercial Dlndustrial
Number of Fixtures:
Batht'Jb
WitirJpooI
Lavatory
l'oilet
Res. Sink
8ar Sink _
~~tlId~tl:l" L.
~.;a~ 0 fle-~IU PwrVnt
Shower _
Root Drain
. '1.1diy Tray
Lab Sink
Plaster Sink
Sterili:z::r
Mise.
Dis~&l
DishW'isher
Sump Pump
EjectorfGri nd
Wall:r Soflner
Local Waste
Clothes Wsltr
Sidet
SClll'rap
Clas.mn Sink;
$urset1ns Sink
Flrcalcrm Sir.k
Pip Well
Hose Bibs
L'rink Fm Catch Basin
Wail Sl Wa~h Ftn
lee Chen UIinnl
exam Sink Gar Drain
Scclry Sink Soda Dilq)
Halle Sink COII't:d Maker
f' Prep Sink Cumm. Ice Maker
S<:rv Sink Silll Drain
inl Grease Trilp Roof Drlrlll
Ext Or..~1: Trap Stanclp R.ec
R.P.Z. Valve Eye Wash 3m
Sllan1p Sink WI1 Sew".r Mtrs
Flr/W$l Sink Deduct M~ers
WIT Usage Mtrs
Fi:>:~s
Electric Contractor
OR
DElectric Installation Verification form attached
(!fRep1ac~r:wnt)
t:se I ~ature of Work .
rwWy Sewol
t Storm Sewer
, Water Scr'lice
Size
Material
Type
#
Conn. Type I
I
I
I
i
J
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