HomeMy WebLinkAbout0127046-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 1313 N MAIN ST
Contractor M P KELLY
CITY OF OSHKOSH No 127046
PLUMBING PERMIT - APPLICATION AND RECORD
Owner GORDON W WISCHOW Create Date 09/21/2007
Plan
Category 411 - Residential-Water Heaters
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest FlrlWst Sink
Lndry Tray Clothes Wshr Exam Sink Catch Basin
Disposal Bidet Sculry Sink Wash Ftn
Dishwasher Beer Tap Hand Sink Urinal
Sump Pump Lab Sink Plaster Sink Standp Rec
Classrm Sink Sterilizer Surgeons Sink Ice Maker
Breakrm Sink Dip Well F Prep Sink Gar Drain
Ejector/Grind Drink Ftn Serv Sink Soda Disp
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature SFRTREPLACED GAS WATER HEATER **c~heck#881-5---------~-----~ -----------~--------~
of Work I
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Plan Approval ______~.9..0_Q
_.-E~.QQ O~~.':~~_"'-~~ded,
Parcelld #
1501120000
Permit Fees
Date 10/02/2007
Va'"atio" ~
Issued By
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 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 (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
R
SEP~~007 D~
DEPARTMENT OF n fHV.OVH
COMMUNITY DEVELOPMENTU..J' N .
INSPECTlON SERVICES DIVISION ON THE WATER
· Application(s) and fee(s) can be brought'to CityIIall,Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work withoutpennit(s) will result in fees being doubled or $1 00.00 plu~the
normal permit fee, which ever is greater.
OR
I ou are a contractor artici atinin the Permit Fee Account Sstem and have ade
if vou want this processed throuffhvot.tr account n
.-/'"'
,/'
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to cOnfonnto the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree tq and are bound by said statutes.
check here
Job A. ddrC$S J;j;! N m~ Value ("'<'",i.g 'ab". and materials)
OW~ /II' /rJ1d .1<7 .Contractor .
~ingle Family DDupIex DMu,fti-Faltlily
Date 110'
Number of Fixtures:
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
..,,-... ."
F Prep Sink
ServSink
IntC!rease Trap
ExfQ!'easeTrap
R:p,Z. Valve
Shamp Sink
FlrlWstSink
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Rec
EyeWashStn
Wtr SewerMtrs
Deduc:tMeters
WtrUsage Mtrs
J
I
f
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink / -;--
Water ter -L-
asO Elect 0 PwrVnt
Shower
Floor Drain
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local. Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Surgeons Sink
Breakrm Sink
Dip Well
DrinkFln
Wait.St.
)ce Chest
Exam Sink
~!';ylry Sink
Ulln<lX~irils
Electric Contractor
Use I Nature of Work
OR [JElectrlclnstaUation Verificatip.nform attached
It/'l1Ot""P--t) .
Sanitary Sewer
Type
#
Conn. Type
~L)/
WaterService
iStorm.Sewer
4/05