HomeMy WebLinkAbout0126239-Plumbing (water heater)
G
OSHKOSH
ON THE WATER
Job Address 2880 NEWPORT AVE
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
CITY OF OSHKOSH
No
126239
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Gri nd
Owner MARK T/CHERYL A ELLIOTT Create Date 08/13/2007
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
~FR 1 Replace gas water heater.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1332970000
$550.00 Plan Approval
~
$0.00
$25.00 0 Permit Voided I
Permit Fees
Date 08/13/2007
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 (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. 2'J07 12: J6PM
City of Oshkosh
Inspection Services Diyision
POBox 1130
O~h.kQsb. WI 54903-1130
Phone: (920) 236.S0S0
Fax: (920)236-5084
i0spedlon serVICES
~~S
I' 2 r. ()I P 1
N J, ... \. , '.
~
O~Q,R
Plumbing Permit Application
1 hereby apply for a pe1'1'l1it to de and install the following plumbing on the premises hereinafter described, the work to :::onfonn to the
Wisconsin State PJurnbing Code, in the performance 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 Se('Vlces. PO Box 1128,
Oshkosh WI 54903-1128. Commencing work wit.flOut pennit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
{{YOU (ire a contractor varticipatiflg in the Permit Fee Accounr System qnd have adeqiillte funds check here
Ifvou }Ultlt thi~ pl'oc2ssed throu~11 your aCCOunt f]
Job Address Zt3ec> ~ 1\ V'{t- G Value (Including lahor and mnterials)
Owner [('y(JIv\ ~\~tcl Contractor l.ctr~
~Single Family DDuplex DMulti-Family DRentaJ DCommercial
00
~ '5:Y3 ' Date 2>~q-O-{
~n~
Dlndustrial
Number of Fixtures:
Batht'Jb
\\(hirlpool
LaVlttory
Toilet
R.es. Sink
Bar Sink
Water lI~lItCT J ~
o Gll$ a Ele~t u PwrVnt
Show~r
Floor Drain
. .L,dTy Tray
Lab Sink
PJasttr Sinl<;
Sterili:z::r
MilSC.
F'ix~s
Disposal
Dishwasher
Sump Pump
EjectorfGrind
Water Sof:ner
Local Waste
Clothes Wshr
aidet
Bear rap
Clu.mn Sink;
SurSe<11\S Sink
Flrcamn Sir.k
Pip Well
Hose BI~
Drink Fin Catcr. Basin
Wail Sl Wash Ftll
lee Chen Urilla]
,"xam Sink Gar Drain
Scell)' Sink Soda Disp
H.anc Sink CoIl"t:t: Maker
;; Prep Sillk Comm. Ice Maker
Scrv Sink SitllDrllin
int Grease Tmp Roof Drsln
Ext Graue Trap Standp R,foc
R..P.Z. Valve Eye Wash Sm
SllaIl1p Sink Wtr Sew",r Mtl's
Flr^Vst Sink DeduCt M~eN
Wtr Usage MtlS
Electric Contractor
OR
DElectric Installation Verification form attached
(!fRep1!lcl:T:llmt)
t'se I Nature of Work.
r:a.nitary Sewer
I ~torm Sewer
I Water St.-nice
Size
Material
Type
1/
Co nn.. Type [
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