HomeMy WebLinkAbout0126757-Plumbing (water heater)
G
OSHKOSH
ON THE WATER
Job Address 1815 FAIRV1EW ST
CITY OF OSHKOSH
No 126757
PLUMBING PERMIT - APPLICATION AND RECORD
Owner ALLEN C/DIANE HARRISON
Contractor MR ROOTER OF THE FOX VALLEY
Category 41 0 ~~es~~ntial:!nterior
_._..-----_.-----~-------_._~----~- -.
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Shamp Sink
Flr/Wst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Create Date 09/13/2007
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Shower Water Softner Wait. St.
Floor Drain Local Waste Ice Chest
Lndry Tray Clothes Wshr Exam Sink
Disposal Bidet Sculry Sink
Dishwasher Beer Tap Hand Sink
Sump Pump Lab Sink Plaster Sink
Classrm Sink Sterilizer Surgeons Sink
Breakrm Sink Dip Well F Prep Sink
Ejector/Grind Drink Ftn Serv Sink
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**DEBIT ACCT**.
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Valuation
Size
Material
Type
#
Conn. Type
Parcelld #
1514815600
$1,600.00 Plan Approval __ $O.OQ Permit Fees
~
$25.00 0 Permit VoidedJ
Date 09/13/2007
Issued By
Sanitary Sewer
Storm Sewer
Water Service
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
Address PO BOX 1141
APPLETON
- . --- ...-
WI 54912 -1141 Telephone Number 920-687-9178
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.
08:38
9205879407
I 09/13/2007
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
MR ROOTER
PAGE 01
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~QlR
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to 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 Halt, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without pennit(s) will result in fees being doubled or $100.00 plus the
nonna) permit fee, which ever is greater.
OR
lLYo,:U are a contraeLr yar " i ,tin in the Permit Fee Ace
ij}!OIl want this processed throu'lh vour account pr
Job Address I~ l c; Fa \(' v f~ r,J <3T. Value (Includinglaboralld m3terials) 1 &, DO 00 Date Cj /(1..1 f
Owner AHelA /IJla~ g~rn~"Contractor M~2.l7oo7W ()f 71.f;f kx. dCLl/A-f
riDgIe F...ily D>>uplex DMulti-F...ily DReutal DC.....erei.1 []Iudustrial
Number of Fixtures:
Bathtub
WhirlP')ol
Lavatory
Toilet
Res. Sil\k
Bar Sink
Water Heater -1-
~ Gas C ElectJ'Q'wrVnt
Shower
Floor Drain -1-
Lndry Tray
Lab Sink
PlllStcf Sink
Sterilizer
Misc.
Fixture:;
Disposal
DishWBllhcr
Sump Pump
EjectorfOrind
Water Sottner
Local Waste
Clothes Wshr
Bidet
'Beer Tap
Classrm Sink
Surgoons Sink
Breaknn Sink
Dip Well
Hose Bibs
unds check here
Prink F'tn Catch Basin
Wait. St. Wash Ftn
lee Chest Urinal
ElC.3.m Sink Gar Drain
Sc;ulry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Comm.lce Maker
Serv Sir'lk Site Drain
1m GreIlllC Trap Roof Drail\
Ext Grease Trap Stmclp Rcc;
lU .Z. Valve Eye Wash Sm
Shamp Sill"- Wtr Sewer Mtrs
flr/Wst Sink Deduct Meters
WI!' Usage Ml~
Electric Contractor
OR
DElectric Installation Verification form attached
(If Replacement)
Size
Material
Type
#
Conn. Type
Use I Nature of Work
Sanitary Sewer
8tonn Sewer
Water Service
11/05