HomeMy WebLinkAbout0126528-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 1812 MCCURDY ST
Contractor M P KELLY
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
UselNature
of Work
PLUMBING PERMIT - APPLICATION AND RECORD
CITY OF OSHKOSH No 126528
Owner JEFFREY L ST LOUIS Create Date 0812912007
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
SFR 1 REPLACE GAS WATER HEATER "check #8772
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1408330000
Valuation $700.00
Issued By ~
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
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
EjectorlGrind Drink Ftn Serv Sink Soda Disp
Plan Approval
$0.00 Permit Fees
$25.00 D Permit Voided I
Address 665 N MAIN ST
AgenUOwner
OSHKOSH
WI 54901 - 4431 Telephone Number 231-1750
Date 08/29/2007
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.
Ig 29 07 02:02p
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 2"36-5050
Fax:.(920) 236-5084
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OJHKOfH
ON THE W^TER
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PJumbingPermitApplication
I hereby apply for a permit to do and install the following plumbing on th~,premises hereinafter described, the workto com-ormto the
WisConsin State Plumbing Code, in the perfol'J11ance of which all plij1ies hereto agree to and are bound by ~aid statutes. .
· Application(s) and fee(s) can be brought to Cityl:Iall,Room'205 ormail~dtofuspection Services, PO Box 11287
Oshkosh WI 54903-1128. Commencing. work withoutpennit(s) WiIl..t~su1t:jn fees bemgdoubled.or $100. 00 plu~ the
normal p~t fee, which ever isgreatet.
OR
J ou are a contractor arUei atinin.tlie Permii-Fee Acco-ll:7JtSslemandhave ade
ifvou want this processed throuf!'hvo.ur accountG ," .
.....-/.
/
check here
Value (Including labor and .tnl!terials) 7tJ/J, ~
Contractor ~.~ ~~~..
DRental' Qeo. erci~'1
,....~.....::'i. ':..,
C. ,
. 6"0/ ,-.
Date ./~~~LII
. /. . '. ..
.~
Dlndus~ial
Number of Fixtures:
.Bathtub
Wbirlpool
Lavatory
Toilet
Res, Sink
.Bar Sink
----
:Disposal'
Dishwasher
Sump Pump
Ejector/Grind
Waler Sonner
Local Waste
Clothes Wshr
Bidet
Beer Tnp
ClassrmSink
StJrgeons~Sink
BrealomSirik
Dip Well
---'--
DrinkFtn
Wait.St.
'.. Ice Chest
:Exam Sink
:SGi!lry Sink
.R*.g,:~ir~
F PrepSil1k
. . . BeN Siil k
. ~ Jnl'C!re~e. 'T.rap
';E.xtQr;ease :Trnp:,
R:P.'Z.Valv.e
~hamp.Si ok
J,lrlWst.Sink
-'----
Catch BaSin
Wash FIn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
'Roof-Drain
Stilnclp Ree
EyeWash 8,tn
Wtr Sewer,Mtrs
D.eQuctMeters
. Wtrt,Jsage Mtrs
"I
I
-=--
Water. Heater ~
J/.'Pas 0 Eleet Q PwrVnt
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink'
Sterilizer
Misc.
. ,Fixtures
~
----'-.
Electric Contractor .
Use I Nature of Work .
. !l!1..
. -",'"
.OElectFi<:;,-Insta)i.atioD ..Verifieati,QD:forin attached
. ..' (Ir,~cp.'ac~~t) . .
6). ~ .:.--
. ,.
. . -," .... i
Size
Material
#.
.COD.:D...Type'
Sanitary Sewer
'StormSewer. .. .
..
. Water Service
4/05