HomeMy WebLinkAbout0127047-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 2427 BLAKE CT
Contractor M P KELLY
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
No
127047
Owner LILLIAN l WilLIAMS REV TRUST
Category 411 - Re~~ntial-Water Heaters
Bathtub
Whirlpool
lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature r-ICONDbUNIT / REPLACE GAS WATER HEATER-**check#8815
of Work
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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
Shamp Sink
FlrlWst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Create Date 09/21/2007
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Valuation
Size
Material
Sanitary Sewer
Storm Sewer
Water Service
Type
#
Conn. Type
Plan Approval _____~.OO Permit Fees
Parcelld #
0622060100
Issued By
$25.00 D Permit V~
Date 10/02/2007
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
Address 665 N MAIN ST
Agent/Owner
OSHKOSH
WI 54901 -4431 Telephone Number 231-1750
Date
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
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SEP212007 ~
DEPARTMENT OF .~
COMMUNITY DEVELOPMENT .0' ruvlQifH
iNSPECTION SERVICES DIVISION, I. Uo~ "~~^"ER
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PlumbingPermitApplication
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DIJidustl'ial
lhereby apply for a permit to do and install the foIlowingplumbmg on theprenrises hereinafter described, the worktoconf:ol;'1l);to the
Wisconsin State Plumbing Code, in theperfonnanceofwhich all parties hereto agree tq and are bound by ~aid statute.s.
· Application(s) and fee(s) can be brought to CityJI:a.ll,Roo1l1205()fmailedtoIn~pectionServices, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work withoutpe.nnit(s)Will tesultin fees being doul?led Of $1 00.00 plu~the
normal pennit fee, which ever is greater;
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OR . ... ..... .... .... ... .... ... .... ... ......... /
If yOU are a contractor particivatinfllntne Fermi/Fee AccountSvstemandhaveadequatefunds. check here
ifvou want this vrocessed throuflhvour accountn ..... '. .
Job Addre~s :')11:< 7~ 1A1f~{!;;r- Value (Including labor Qlidmate.n.alil) & 8 <7.. 7.3 . .
Owner /YI,f$ . tVJ / Illi:J"i:s .contractor~lu~(!. ~
Ogle Family DDuplexDMJ~ilti~Family DRentar,OC()~e~d~l'.
r. f ..
". 9h la'
Date r ~. O/,,,€ .
Number of Fixtures:
Bathtub
Whirlpool
LAvatory
Toilet
Res. Sink
::::~ I
~OElect 0 PwrVnt
Shower
Floor Drain
.',
· Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
ClassnnSirtk
, Surgeons Sink
Breaknn Sink
Dip Well
~
DrinkFtn
Wai!.S!.
Ice Chest
,Exam Sink
,~.p,l!Il'Y Sink
9ilri~;~i~\C'
F PrepSirik
Se-rvSink
. Inr,qrease Trap
'8iHJte3se :1'rap
RP,Z:Valv.e
~hampSink
<E1rlylstSink
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
RQOfDrain
StandP Re<;
EyeW~ShStn
Wtr Sewer-Mtrs
DeauctMeters
WitrP:sage Mtrs
Lndry Tray
LAb Sink
Plaster Sink'
.Sterilizer
Misc.
Fixtures
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Electric Contractor
OR 'OElectr1tInstail.atioDVerificati~lt'form attached
. qt;Renlacement.)' . . .
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Use IN ature of Work
Material
Type
~/
Sanitary Sewer
:BtormSewer
Water Service
4/05