HomeMy WebLinkAbout0127041-Plumbing (water heater)
e CITY OF OSHKOSH
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1680 HUNTERS GLEN DR Owner TIMOTHY ErrAMI L GAUBATZ
No 127041
Create Date 09/21/2007
Contractor M P KELLY
Category 411 -Besidential-YVater Heaters
Plan
Bathtub Shower Water Softner Wait. St. Shamp Sink Coffee Maker
Whirlpool Floor Drain Local Waste Ice Chest FlrlWst Sink Int Grease Trap
Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Toilet Disposal Bidet Sculry Sink Wash Ftn RPZ Valve
Res. Sink Dishwasher Beer Tap Hand Sink Urinal Eye Wash Statn
Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters
Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Roof Drain Ejector/G rind Drink Ftn Serv Sink Soda Disp
Misc.
Fixtures
Use/Nature SFR / REPLACE GAS WATER HEATER **check #8815
of Work
L___
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1331740000
Valuation $746.71 Plan Approval
Issued By ~
$0.00 Permit Fees
$25.00 D Permit Void~
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
Date
AgenUOwner
Address 6~!II.~~~___.___.~.__.__._.__ QSf:i1<9~_____. ._ . 'JIlL ~i90.1 - ~'!.3_1__ Telephone Number ?31.:17~0__n
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.
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920)236-5050
Fax: (910) 236-5084
~
COMM[~ft~T:~~g:MENT O/HKO/H
INSPECTION SERVICES DIVISION >. ON THE; WATE;!?
E
EI
SEP 2 1 2007
Dll1dus~rkd
PlumbingPerrnitApplication
lhereby apply for a permit to do and install the foIlowingplumbing on theprertrises hereinafter described, the worktocont{)f11lto the
Wisconsin State Plumbing Code, in the performance of which aU parties hereto agree tQ and are bound by ~aid statutes.
· AppIication(s) and fee(s) can be brought'to CityJlall,Ro()m20SQrmaJledtofuspectionServices, PO Box t128,
Oshkosh WI 54903-1128. Commencing work Withoutpennit(s) Willres,ultin fees being doubled or $1 00.00 pltl~the
normal permiHee, which ever is greater.
OR
I au are a contractor artici atinlntHe PermitFee AccounLSsiemandhaveade check here
ifvou want thisprocessed throughvour accountn. .
Job Addre~s I (p iff I/(//l k/.S(}j€>~alue (InC]Udinglabor:mdmateriali;y7 t./(; .) / .. ..
~Fa:::1J!1 .~:~~;:::tor D~~="
Number of Fixtures:
Ilathrub
Whirlpool
Lavatory
Toilet
Res. Sink
~:t::~r r
l,lXfasO Elect 0 PwrVnt
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
~
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Sollner
Local Waste
Clothes Wshr
Bidet
Beer Tap
ClassrmSink
,SilrgeonsSink
BreakrmSitik
Dip Well
.~
~.
-'-----'-
Sterilizer
Misc.
Fixtures
~,
DrinkFtn
Wait.St.
Ice Chest
:Exam Sink
.~~iJll)' Sink
ailn~{~ir\S
F PrepSliik
ServSink
.. Int'Qrllllse Trap
'E~t\Oi:eaSeTrap .
RP;'Z;Val:ve
~hampSitik
,.E1rlWsfSlnk
D.ate 9 i~. Q]
. .. ,.. .
~
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
RwfDrain
Stai'ldV Rec
EyeW:!shSln
Wtr Sewer'Mtrs
. DedUGtMeters
Witr ]:Jsage Mtrs
.~
.~
--------
"~
.-:----
Electric Contractor
Use I Nature of Work
Sanitary Sewer
Material
Type
,Storm. Sewer
,.
Water Service
>CoIin.Type....
~(:;//
4/05