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Home My WebLink About0126524-Plumbing (water heater) e OSHKOSH ON THE WATER Job Address 220 GRACE LAND DR Contractor M P KELLY Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work CITY OF OSHKOSH No 126524 PLUMBING PERMIT - APPLICATION AND RECORD Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Owner DONALD/LUCILLE CLAUSEN Create Date 08/29/2007 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 SFR / REPLACE GAS WATER HEATER .'check #8772 Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 0618310000 Plan Approval $0.00 $25.00 0 Permit Voided I Issued By $717.00 c:- .~ QY\l 'J Date 08/29/2007 Valuation Permit Fees 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 OSHKOSH Address 665 N MAIN ST WI 54901 - 4431 Telephone Number 231-1750 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. City of Oshkosh Inspection Services Division POBox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 RECEIVED AUG 28 2007 ~ OfHKOfH ON THE WATER DEPARTMENT OF COMMUNITY DEVELOPMENT INSPECTION SERVICES DIVISION Plumbing Permit Application I hereby apply for a pennit to do and install the following plumbing on the premises hereinafter described, the work to COnfOrrnJo the Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes. . Application(s) and fee(s) can be brought to City Hall, Room 205 or mailedt6Inspection Services, PO Box 1128, Oshkosh WI 54903-1128. Commencing work without pennit(s) will re.sult in fees being doubled or $100.00 plu~the nonnal permitfee, which ever is greater. . OR If YOU are a contractor varticivatinf!in the Permit Fee Account Svsiemandhave adequate funds. check here if you want this vrocessed through your account n . Job Addre$S ~ tJ ~ Value (Including labor and materials) 0~J ~Contractor DDuplex DM'!Jlti-FaIl1ily /r .;~ '~'. , " .:,.: ~:~j 7) ;;,.... Date 17. .7 r ",,,... ,., .', Dlndustrial Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water.kater I ~as 0 Elect 0 PwrVnt Shower Floor Drain Lndry Tray Lab Sink Plaster Sink , Disposal Dishwasher Sump Pump Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap ClassnnSink Surgeons Sink Breaknn Sink Dip Well DrinkFtn Wait.St. . Ice Chest Exam Sink .:;iqillry Sink Han<l;;~i~W F Prep Sink Serv Sink Inrqrease Trap ExtGrease Trap R.p:Z.Vaive ~hampSink Flr/WstSink Catch Basin Wash Ftn Urinal Gar Drain Soda Disp Coffee Maker Ice Maker Site Drain Roof Drain Standp Rec EyeWashStn Wtr SewerMtrs Deduct Meters WtrlJsage Mtrs Sterilizer Misc. Fixtures Electric Contractor OR.. . OElectriclnstallation VerificationJorm attached Use I Nature of Work /J-V-4U/d /{/!/~~"-l) . Size Material Type # Conn. Type Sanitary Sewer g{;W !StormSewer WaterService 4/05