HomeMy WebLinkAbout0127351-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 1329 CENTRAL ST
CITY OF OSHKOSH No 127351
PLUMBING PERMIT - APPLICATION AND RECORD
Owner GORGENE D NIEMUTH Create Date 10/18/2007
Plan
Contractor M P KELLY
Category 411 - Residential-Water Heaters
Bathtub Shower Water Softner Wait. St. Shamp Sink
Whirlpool Floor Drain Local Waste Ice Chest FlrlWst Sink
Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin
Toilet Disposal Bidet Scurry Sink Wash Ftn
Res. Sink Dishwasher Beer Tap Hand Sink Urinal
Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec
Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker
Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain
Roof Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp
Misc.
Fixtures
Use/Nature SFR / Replace gas water heater.
of Work
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Size
Conn. Type
Material
Type
#
Sanitary Sewer
Storm Sewer
Water Service
Valuation
$721.00 Plan Approval
arno
$0.00 Permit Fees
$25.00 D Permit Voided I
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 MAl N ST
OSHKOSH
WI 54901 - 4431 Telephone Number 231-1750
Parcelld #
1500780000
Date 10/18/2007
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-U30
Phone: (920) 236-5050
Fax:(920) 236~5084
Plumbing Permit Application
~
OJHKOfH
. i' ON THE WATE!?
I hereby apply for a permit to do and install the following plumbing on theprenrises hereinafter described, the work tocoIj-o.trnJo the
Wisconsin State Plumbing Code, in theperfonnanceofwhich aU parties hereto agree to and are bound by said statute.s. .
· Application(s) and fee(s) can be brought'to CitylfaIl,Roorrt205QrmiiledtOInspectionServices, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work withoutperrnit(s )wj1lresultin fees beingdouble!ior $100. 00 plu~the
normal permit fee, which ever is greater. '. . .
OR
Iouare a contractor artici atinintli~PermitreeAccounlSstem ailahaveade
ifvou want this vrocessed throuf!hVour account n .
Job Address~~ Value (In'IwI;,,,,.b~''''' ..."".,,)
Owne Contractor ."
ingle Family DDuplex OMl:l~lti.;.Fa~i1y
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink _
Wat~r4ter -L
~-o- Elect 0 PwrVnt
Shower
Floor Drain
Lndry Tray.
Lab Sink
Plaster Sink'
Sterilizer
; Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
ClassmlSink
. Surgeons Sink
BreakmrSitik
Dip Well
.'~
~
Misc.
Fixtures
~
~
...-..0---
/~
check here
.D IO( :J....../<. (J.......7.... '...
. ate , ." ....
DrinkFtn
Wait.St.
Ice Chest
;Exam Sink
~q~!ry Sink
llilnd:1Sirik .
. . ."'::;:,'~\~'~'{'.i"
F PrepSlrik
ServSink
Jnp'qr(la~e Trap
;}3XMJi:e.ase trap.
. .-R::P;ZiVillve
~hatnp:Sink
i'FJrlWsfSink.
~
--'--
~
~.
Electric Contractor
Use I Nature of Work
Sanitary Sewer
..?Storm.Sewer.....
WaterService
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffi:e Maker
Ice Maker
Site Drain
RQOfDrain
Standp Rec
EyeWilslrStn
Wtr Sewer'Mtrs
Dedttc;tMeters
WttpsageMtrs
I
I
I
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4/05