HomeMy WebLinkAbout0127349-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 1634 BEECH 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
Valuation
Issued By
CITY OF OSHKOSH
No
127349
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner JOHN D/JOAN E WORTMAN Create Date 10/18/2007
Category 411 - Residential-Water Heaters Plan
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest FlrlWst Sink Int Grease Trap
Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Bidet Sculry Sink Wash Ftn RPZ Valve
Beer Tap Hand Sink Urinal Eye Wash Statn
Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Sterilizer Surgeons Sink Ice Maker Deduct Meters
Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Drink Ftn Serv Sink Soda Disp
SFR / Replace gas water heater.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1207480000
$660.00 Plan Approval
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$0.00 Permit Fees
$25.00 D Permit Voided I
Date 10/18/2007
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
OSHKOSH
Address 665 N MAIN ST
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 (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) 236-50$0
Fax: (920) 236-5084
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OfHKOfH
. j' ON THE WATER
PI umbingPerl11itApplication
lhereby apply for a pennit to do and install the following plumbing on the premises hereinafter described, the work tocoriQtrnto the
Wisconsin State Plumbing Code, in the performance of which all parties hereto: agree to and are bound by said statute.s.
· Application(s) and fee(s) can be broughito City Hall, Roorn: 205<ormaileQfOlnspectionServices, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work withoutpennit(s)willresultin fees beingdouQ'ledor $100 .00 plu~ the
normal permit fee, which ever is greater; . .
OR , .
Iouare aeontractor artici atih inlhePermltPi~eAcCountSstema1idhaveade
if yOU want this TJrocessed throuflhvour account n
f~
check here
Job Ad re~sj \.0 ~~(\ "^ S+ . Value (In<;luding lab<?randniatetial~)^
.-:-- \. ~ ':.'
OWer .::::J ~ .' .' . Contractor " ",
Single Family DDuplexQMuilti;;'Fami,ly
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
: Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local 'Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
,SiJrgeonsSink
BreakrmSink
Dip Well
\
Shower
Floor Drain
Lndty Tray,
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
~
"'------'
.~
DrinkFtn
Wait.St.
Ice Chest
:Exam Sink
\~l@!)' Sink
>>*ti~\~ir~ '
F Prep'Sink
ServSink
'Jnl,q~a~e Trap
\ExtiQ~aseTrap .
R;P,2;;Vaive
~hampSitik
)Flrf.WstSin.k
.~
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
RootDrain
Stanijp Rec
EYeW~stfStn
Wtr Sewer'Mtrs
Dedtic;tMeters
W'trUsageMtrs
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Electric Contractor
Use I Nature of Work
Sanitary Sewer
YStormSewer
WaterService
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