HomeMy WebLinkAbout0126523-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 1016 OTTER AVE
CITY OF OSHKOSH
No
126523
PLUMBING PERMIT - APPLICATION AND RECORD
Owner ANN Y ANA Create Date 08/29/2007
Category 411 - Residential-Water Heaters Plan
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest Flr/Wst 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 M P KELLY
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
EjectorlGrind
SFR / REPLACE GAS WATER HEATER "check #8772
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0205310000
~o
- (
$0.00
$25.00 0 Permit Voided I
Plan Approval
Permit Fees
Date 08/29/2007
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
AgenUOwner
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 ~
DEPARTMENT OF OltiVjOifH
COMMUNITY DEVELOPMENT . N ..
.' . ON THE WATE~
INSPECTION Sf:RVICES DIVISION I
· Application(s) and fee(s) can he brought'to City lfal1, Room 205 ()rtruiiledto Ihspection Services, PO Box 1128,
. Oshkosh WI 54903-1128. Commencing work Withoutpennit(s)Willre~ultii1 fees being doubled or $100.00 p1u~the
normal permiHee, which ever is greater.
OR .
Iouare a contractor artici atininthePermitFee AccounfSsiemandhaveade
ifvou want this processed throufJhVo,ur accountrl .'
...-/'
,/
check here
Plumbing Permit ,Application
lhereby apply for a permit to do and install the following plumbing on theprettrises hereinafter described, the worktocOn:fotn)ito the
Wisconsin State Plumbing Code, in ~epenonnanceofwhich aUpariies hereto agree to and are bound by ~ajd statutes. .
. D.' t ~ /t,H..' ) Q......7
a e....,
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
.B~rSin T-
Wat Heater
o Elect 0 PwrVnt
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
'"
· Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Soflner
Local Waste
Clothes Wshr
Bidet
Beer Tap
ClassrmSink
, Surgeons Sink
Breakrm'Sirtk
Dip Well
DrinkFtn
Wait.S!.
Ice Chest
;Exam Sink
\~~411)' Sink
FI'iirid[Sirik
. '-;"":7..\\;-,;,~"",-,
~F Pr~Sirik
. SetvSink
, Inl'qre~e Trap ,
,Bxt<:Qi.;ease 'Trap.
R.P'Z;Vaive'
~hamp'Sj,lik
)FlrlWstSink
.~
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
SileDrain
R.oofDrain
Stat1dp Rec
EyeWaShStn
Wtr Sewer'Mtrs
DeQuct Meters
WtrJ:}sage Mtrs
~.
~
.~
~
~
~
~,
Misc.
Fixtures
Electric Contractor
'OElectr:if,Inst~ilation '. Verificau9n:form attached
~*:..,--') ..
Use IN afure of Work
Sanitary Sewer
Type
#
:.,Corin;Ty-Be'.. .
iStorm.8ewer.
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WaterService
4/05