HomeMy WebLinkAbout0126520-Plumbing (water heater)
e CITY OF OSHKOSH No 126520
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 118 W PARKWAY AVE Owner TRACY L OWENS Create Date 08/29/2007
Contractor M P KELLY
Category 411 - Residential-Water Heaters
Bathtub Shower Water Softner Wait. St. Shamp Sink
Whirlpool Floor Drain Local Waste Ice Chest FlrlWst Sink
Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin
Toilet Disposal Bidet Sculry Sink Wash Ftn
Res. Sink Dishwasher Beer Tap Hand Sink Urinal
Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec
Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker
Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain
Roof Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp
Misc.
Fixtures
Use/Nature ~FR / REPLACE GAS WATER HEATER ..check #8772
of Work
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Size
Conn. Type
Material
Type
#
Sanitary Sewer
Storm Sewer
Water Service
Valuation $684.00
Issued By ~~
$0.00
$25.00 0 Permit Voided I
Plan Approval
Permit Fees
Parcel Id #
0703830000
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 (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.
.RECEIVED
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920)236';5050
Fax:.(920) 236-5084
@..,
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OfHKOfH
. " ON THE WATER
AUG 2 8 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
Plumbing Permit Application
1 hereby apply for a permit to do and install the fol1ow-ingplumbing on the.preIilises hereinafter described, the worktoco~ol:'D.l"to the
Wisconsin State Plumbing Code, in the performance of which aUpa,rtieshereto:agree tq and are bound by said statutes;
· Application(s) and fee(s) can he brought'to CitylIa.1l,Room:205Qrmailedtolnspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work withoutperrnit(s)wiILresultin feesbeingdoubled.or $100 .00 plu~the
normal permittee, which ever is greater.
OR , . ,'. ' '. '
I Quare a contractor artici atininlhePermitFee Acco.un.tSsiemandhaveade
ifvou want this processed throughvo.ur accountn .',. ,
Job Address II ~ W , ~~Value (Irt""d;n'_~d"",,"",)
Owner \~.M O~'S Contractor
1 .
DSingle Family DDupJex.. ,DM:pilti::'Fam:ily
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Wate~ater r
lf6as.o Elect 0 PwrVnt
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
. Di$posaI
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
ClassrmSin"k
.surgeonsSink
BreakrmSink
Dip Well
.~
~
Sterilizer
Misc.
Fixtures
Electric Contractor
Use I Nature of Work
Sanitary Sewer
iStormiScwer
"
Water Service
~
./
check here
~. ~
.... O. ..", .. if-
Date 'J1! . .' .~ ,
DrinkFln
Wait.St.
Ice Chest
.Exam Sink
%~11"Y Sink
'fIari~'~!~~
F Prep Sink
Sel'vSlnk
Int'Q,rease,l'rap
cExt\Qi:e:ise :trap
RP,Z;' Vaivc'
S,hampSirtk
,F1rlWsfSlnk,
.~
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
RQOfDrain
"Standi) Rec
EyeWashStn
Wtr Sewer'Mtrs
DtductMeters
WtrlJsage Mtrs
.flB..
. '. . ." .
.-'..:' ..... ; . ,.... ,',.,.,' ,.
. W~~nationVeriftc~io<rn attached
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Yrr~'
4105