HomeMy WebLinkAbout0126268-Plumbing (water heater)
e
OSHKOSH
ON THE WATER
Job Address 515 SCOTT AVE
CITY OF OSHKOSH
No
126268
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner TRI STAR INVESTMENTS LLC Create Date 08/15/2007
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 JOHN D RANSOM
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
Multifamily / Replace gas water heater. **DEBIT KITZ & PFEIL ACCT**.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
0500940000
$395.00 Plan Approval
~
$0.00
Permit Fees
$25.00 D Permit Voided I
Date 08/15/2007
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address W5056 PARADISE LN
FOND DU LAC
WI 54935 - 9662 Telephone Number 920-922-1987
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
:.:i,:. ,~fGsh..'<o:,;h
b$P~.:;tio,;1 Services Division
POBox 1:;;0
~ )Sil!<osh, WI 54903-1 DO
l';l()n~: (920) 236-5050
Fax: (920) 226-50(-:"+
~
OJHKO/t-.{
~.1N Tc.F. W;',:'Ef1
Plumbing Permit Application
; hucby apply fora perrnitto dn and install :he following plumbing on t~,e premises hereinafter described, the '\vqrk to confortr:! (c (b~:
Wisconsin Smtc !:'b..m'2bing (;oci.~\ ,1:;:1 ~he perfor.mance of'""'hich all ~arties hereto agree to and are bound by said $tatutcs.
.
.:\pphcation(;::) and tc::{s) can :)c: bro'J.g-ht cO City lhdl, Room 2Gl5 or mailed to inspection Services, PO Box 1128.
Oshkosh WI 549()3-:! l28. Cowmencmg wQ!:k ",'ithout penDirts) will result in fees bcing doubled or SlOO.OO plus the:
nOrr:J.al p:::;rmit fe~:, '.'.'hich ~vcr is ~1'!"c.~at~;_
OR
If' ,'!?_'1-..pre a (W1/raCl.:?..Lj2J.lrT.Ujpc-:r:i?ir?. .f!l....1~1? hU:..rlJit F"'fL,Acc:oU!tL~vstlZm o,l!-d have ac!1/J.;.uatq. (;,m.tfs, chr;(:k bgt:~
U~;:() [,( l~/(.(.n..:\. rh is {)J~O Co (!:s S f....c/. ;hro ug ,~_ ~,IO U1' (1 cr_Q. unt n .
,100 Address_.fi!J 'i,,-o'/f V.lue i'"':"''''''~#~) 11:' 06
()\"tl'Cr __lP I ..2..&Y-:.M....----."...- Contractor ! ~4--'
~Single FamHy r iDupiex jXMultl-Family ORental DCommercial
Date -2..::1 If -D1
Dlndu.stdal
:'\umber of Fixtures:
~~~~it:i';-
s:i.shwi:.SI~cr
neli\. Oper.
Dip~Wel1
DI'i '~k fw
Wa~St.
Ice blc~t
E'Xa~l Sink
Scuiry Sij~k
Ilar1d Sin k
F Pliep Sink
Seri' $j~k
In! 13r~:a$C TraF
f!,xt;Gl'<::ase Trap
SMrIll' Sj!1>;
Flr,'W,t Sink
J.",:,,:,)
Lr;(~r}' Stll:'.t!:",
'.,Vh . :pv~li
IJisp<.1S"\
KCS. S:~;;
F;~c-cti~T/(; rrn~:
\/t:;lrc:- S~~:"::n~:"
Catch 'B<.lsil1
Wash Ftrl
Urin~ 1
r.~): i~~
.s:.:r~p .P!.::r:p
.
Gar Drain
Soja Dis'p
Coffee M2k'.lf
~(~. :-:;in'k
\~':~I.~.:' ; (~lJlt.:.r -;,/_
~ '''" f' ,,-- Pc,",".",
JlIII"\ . : 0;:.. 'J , .. ~~.,..... ." - Yl. ' ,.
LO";~li Vt'.:.:.;r>.:
t :~",':~'l:.;~ V",l.i~~r
),1':"''':'':'
t~i';,~,
Ice };l:l-kef
:;',',,;-Dr:::ijl
Beier ~'~~i."'.
S'ltC Drain
Rooe ])r:!jn
i.;'::'.I1' : .:;.y
<.::1s,;-;s:"'jr! S~r~K
:.~b Si:lh
Si,;;-,g~\'):1~ :,;:1;';"
Snmdp R~c
;'I;~..::.:r 5::1k
H!'Cd.k~:", ~;~~k
,:..:'.::7,..:r
E le~~tric em! tracto I"
OR UElectric JIlstalhHioJ) Verific.ltion form attached
; (If Rc?lacerntT")
t;se / ;\"atun; of VllOl"k~...".(~~_ _
..-..--.....,-.-- ..,. . -....---..-..........---------.. .- . ---.-----... ..
Siz::' \A:::":'~~'~I:~l
'T~;---..'....-#---...(:~l )~:~;~
.>~E::~:;:')' Se\N2:'
.....H\n:.l S-L'\:\,'t:J"
,\ a'~...:;' S~;;'\';"::~
'._'__..__..., . ...M_...._.____. ..." ___'.M"'~'_'_'_'." ._..---:_........ .".,.,--__.._...._._....
SO 'd
8vSSgS~O~61 'ON XIJ,j
lI3,jd ~ ZlI~ Wd LO:vO 301 LOO~-vl-DOIJ