HomeMy WebLinkAbout0127043-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 1911 MCCURDY ST
Contractor M P KELLY
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
CITY OF OSHKOSH
No 127043
PLUMBING PERMIT - APPLICATION AND RECORD
Owner LOIS A BECKER
Create Date 09/21/2007
Category 411 - Residential-Water Heaters
Plan
Shower Water Softner Wait. St. Shamp Sink Coffee Maker
Floor Drain Local Waste Ice Chest FlrlWst Sink Int Grease Trap
Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Disposal Bidet Sculry Sink Wash Ftn RPZ Valve
Dishwasher Beer Tap Hand Sink Urinal Eye Wash Statn
Sump Pump Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters
Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Ejector/Grind Drink Ftn Serv Sink Soda Disp
fSFRTREPLACE GAS WATER HEATER~heck#88f5~-~-
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Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1408600100
Plan Approval ____~_$..<L9~ Permit Fees ___~_ $25.00 D_~~rmi~~~i~ed!
valuation~~~
Issued By
Date 10102/2007
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
Agent/Owner
OSHKOSH
WI 54901 - 4431 Telephone Number 231-1750
Address 665 N MAIN ST
To schedule inspections please call the Inspection Request line at 2:36-5128 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-$084
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OfHKOfH
,. ON THE WATER
SEP 2 1 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to CO~Ol.'nl'to the
Wisconsin State Plumbing Code, in the performance of which allpanies hereto agree tQ and are bound by ~aid statutes.
· Application(s) and fee(s) can be broughito Citylfall,Room205ormailedtofu~pectionServices, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work withoutpennit(s)willr~ultii1 feesbeingdou~ledQr $1 00.00 plu~the
normal permitfee, which ever is greater. r
OR .. .. . ... . .... .,..... .. .......,.. .. .. .. . .f../
If vou are a contractor particivatinglntlie Permit Fee AccountSvstimuzndhaveadequatefullds. check here
ifvou want this processed throughvour accountn. . .. . .;
J.Ob.. A. ddr. ~ ~ 9// mel!v4k
Owner O~ gEeJ{~fi.-Contractor
~ Family DDupJexDM.J:l;lti.;.Fa~jly
r. f
Number of Fixtures:
Bathtub
Wbirtpool
Lavatory
Toilet
Res. Sink
Bar Sink
Wate~~ -r-
(}?6aso Elect 0 PwrVl1t
Shower
Floor Drain
.'.
: Di~posal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
ClassrmSink
.SilrgeonsSink
Breakrm Sink
Dip Well
~
~
Lndry Tray
Lab Sink
Plaster Sink.
Sterilizer
Misc.
Fixtures
~,
Date 9 - ?~2
DrinkFtn
.Wait.St.
Ice Ch~t
,Exam Sink
~'\<~!1"Y Sink
W1n~~~j~1s'
F PrepSitik
ServSirik
In.ttQ.rea~eTrap
;ExtiQreas.e trap
R;P:Z:Vatve
. .~hamp.Sitik
iBlrlWsrSink
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
RoofDrail1
Stiit)lJP Rec
EyeWlj.shstn
Wtr SewerMtrs
DeduGtMeters
WtrlJsage Mtrs
Electric Contractor
OR [JElectric Installation Verification form attacbed
__ JrJ;v-' (rr.....,""") '.
Use I Nature of Work
Material
Type
Sanitary Sewer
iStorm.8ewer .
.'
.. Water Service
~/
4/05