HomeMy WebLinkAbout0126186-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 5 E CUSTER AVE
CITY OF OSHKOSH
No
126186
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner VICTOR A SERWE JR Create Date 08/08/2007
Category 410 - Residential-Interior 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
Issued By
Install owner supplied gas water heater in basement.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1504980000
$65.00 Plan Approval
~
$0.00
$25.00 D Permit Voided I
Permit Fees
Date 08/09/2007
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
GREENVILLE
WI 54942 - 8683 Telephone Number 920-757-6863
Address N-1044 TOWER VIEW DR
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
...
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May, 14, 2J07 12::)6PM
City of Oshkosh
inspection Services Dh'ision
POBox 1130
O$hkosh, WI 54903-1130
Phone: (920) 236-S0S0
Fax: (920) 2j6-S084
i~5~'edi()n S€rV/CES
~~S
th 2fO i P.
~
0-4t-j~Q{f-1
Plumbing Pernllt Application
l hereby a.pply for a permit to do and imtall th~ following plumbing 011 the premises hereinafter described, the work to (;oaform to the
Wisconsin State Plumbing Code, in the pexformauce of which all parries hereto agree to and ilre bound by said stlltutes.
· AppIication(s) and feces) can be brought to City Hall, Room 205 or mailed to Inspection Ser:vices, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without pennit(s) will result in fees being doubled or $100.00 plm the
normal penult fee, which ever is greater.
OR
11-Y-llK are a contractor lJarticipatiftg in the Permit Fee Acc:punr Svstem and hav~!1g.!.ff.__Lunds, chu;f; here
iL'iJ.7~( want ,hi:> 7Jrocess.ea th'(ou~h }'OUraCCount r::l .
Job Address 5 '- L\35+l( St.
~ \C- S?ClA)..Q....
DSingle Family DDuplex
Owner
lam r 0(") \\...l d dO .. ..
ValUe(IndudingI3bor~ndmatbals) 'f tt S I Date~_ '1~ 1
Contractor ~ \.}Qns-V'
,
DMuJti-Family ~RentaI DCommercial DIndustrial
Owru- 5L)O.p'LL~ ~Cl+-~
Number of Fixtures:
Ralht>Jb
Disposal
Dishwasht:r
Sump Pllmp
EjectorfGrind
Warer S?ftner
Local Wa~te
Clotho5 Wshr
Bidet
Bccr Tap
Cla.s.mn Sink
$urS""I\S Sink
Bro8krm Sir.k
Pip Well
Hose B l'bs
J)rink fm C2tcl: Basin
Wait St Wa~h Fin
lee Chest Ulillal
leumSink Gar Dnlin
Sct:lry Sink Soda Di"1'
Hal1e Sink con,," Maker
?" Prep Sill!: Cumm. Ice Maker
Scrv Sink Silt: Drain
int Grease T rdp Roof Drlli"
Ext Gre~e Trap Slandp Rt'e
R.p,z. Valve Eye W',Il S tn
Shamp Sink Wtr Scw~r Mtrs
FlrA\'st Sink Deduct Moners
Wtr Usage Mtrs
Whirlpool
Lavawry
loll91
R~. 3ink
Bar Sink __
~etlI~~tt:TL.
, Ga~ 0 flll':t U PwrVnt
ho ver _
Floot !:hin
,l.ldi'y Tray
L3b :1 1nlc
PJa>;ler Sink
Sterilizer
Misc.
Fix~s
Electric Contractor
OR
DElectric 11lst.aUatioD Verification form attached
(!fRCl'lac~=n!)'
"Cse I ~atu,.e of Work .
Size Material
Type # Co t1l1. Type I
! ~Ie\~(p
I
I l
J
:'1./05
SaniWIY Sewer
Storm Sewer
i Water .St-nice