HomeMy WebLinkAbout0126522-Plumbing (water heater)
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236~5084
RECEIVED
AUG 2 8 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
P lumbingPermitApplication
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OlHKOfH
ON THE WATER
~ I I.
. nate~.J~
I hereby apply for a pennit to do and iristall the following plumbing on theprettrises hereinafter described, the work tocoItot:rn\to the
Wisconsin State Plumbing Code, in theperfonnanceofwhich allpart;ies hereto agree to and are bound by said statutes.
· Application(s) and fee(s) can be brought to Cityllal1,RoonlZ05<()rmail~dtOInspec.tion Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work withoutpennit(s)w:illres,ultin fees being doubled or $100 .00 ph:I~the
normal pennitfee, which ever is greater; .
OR~r
I ()uare a contractor artici atinintlie Permit Fee ACCoulltSsiemandhaveade check here
if vou want this processed throuehvo.ur account n" .
JO... b... Addrf$S~~. ~.b~-J-. ....value. (."twll"".."......ma .....r. :.......al.....1ibTl_OO
O~r ~contraetor~~~~i' .~
IZfSingle Family DDuplexDM.~lti~Famjly DRental....OCQ ...... .er4;i~t
" .... ,',', .... ".:' .
.". "0 ':".'. . '".:' .... " : . . '.'..".. _._'.... ." . .
.. ~~~~iiationV~~:f...... attaehed
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Wate~ter r
tp13asD EJect 0 PwrVtlt
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Soflner
Local Waste
Clothes Wshr
Bidet
Beer Tap
ClassrmSink
.SilrgeonsSink
BreakrmSitik
Dip Well
~
DtinkFtn
Wait.St
Ice Chest
;Exam Sink
.~.~@ry Sink
. a~!.\~~j~\S
F PrepSirik
ServSiilk
'In.t'qr~a~e.1'rap
<E14t\ (itease tTliP
R;P,Z;Vilive
S,hampSilik
'F.IrlWst.Sink
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Electric Contractor
Use / Nature of Work
Sanitary Sewer
iStorm.Sewer.....
Water$ervice
. '..Dlridustrial
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda D.isp
Coffee Maker
Ice Maker
SiteDraill
Roof Drain
.'Standp Rec
EyeWilshStn
Wtr Sewer'Mtrs
. DeductMete.rs
'Mtr'Usage M trs
'.~ ~S,PO
4/05
e
OSHKOSH
ON THE WATER
Job Address 1111 KNAPP ST
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 126522
PLUMBING PERMIT - APPLICATION AND RECORD
Owner RALPH R SPANBAUER Create Date 08/29/2007
Plan
Category 411 - Residential-Water Heaters
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
~FR / REPLACE GAS WATER HEATER **check #8772
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1307370100
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest Flr/Wst Sink
Lndry Tray Clothes Wshr Exam Sink Catch Basin
Disposal Bidet Sculry Sink Wash Ftn
Dishwasher Beer Tap Hand Sink Urinal
Sump Pump Lab Sink Plaster Sink Standp Rec
Classrm Sink Sterilizer Surgeons Sink Ice Maker
Breakrm Sink Dip Well F Prep Sink Gar Drain
Ejector/Grind Drink Ftn Serv Sink Soda Disp
Plan Approval
$0.00
$25.00 0 Permit Voided i
Valuation $677.00
Issued By &-rrl S-
Permit Fees
Date 08/29/2007
In the performance of this work, I agree to perform all work pursuant to rules goveming 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 665 N MAIN ST
OSHKOSH
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.