HomeMy WebLinkAbout0127350-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 387 KIRKWOOD DR
CITY OF OSHKOSH No 127350
PLUMBING PERMIT - APPLICATION AND RECORD
Owner RONALD J SAFT 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 Sculry 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
UselNature ~FR / 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
$321.00 Plan Approval
~
$0.00 Permit Fees
$25.00 D Permit Voided I
Issued By
Parcel Id #
0654050000
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
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
@
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OJHKOfH
, " ON THE WATER
PI umbingPerl11itApplication
Ihereby apply for a permit to do and install the following plumbfug on theprernises hereinafter described, the work tocon,for.rnJo the
Wisconsin State Plumbing Code, in the perfonnance of which all parties hereto agree to and are bound by said statUtes. ,
~Ie Family
· Application(s) and fee(s) can be broughito Cityij;all,Roo.rrt205ormailedtOInspectionServices, PO Box1l28,
Oshkosh WI 54903-1128. Commencing work Withoutpennit(s )willresultin fees being doubled or $100. 00 plu~ the
normal permit fee, which ever is greater, " . ,
OR ,
I ouare a contractor artici atin lntJiriPrirmHFeeAccountSsiem andhaveade
if vou want this vrocessed throuf!hVo,ur account n '
&Valoe (!n"""",. In"" ............,0}
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check here
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,
Contractor
'MfJ\lti:;'FanJi.ly
rYate trk f faJ
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
B~S'k
Wa Heater r
Gas 0 Eject 0 PwrVnt
Shower
, Fioor Drain
l.JJdry Tray
Lab Sink
Plaster Sink'
Sterilizer
Misc.
Fixtures
----
,
: Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Soflner
Local Waste
Clothes Wshr
Bidet
Beer Tap
ClassnnSink
Surgeons Sink
BreaknnSirik
Dip Well
~
DrinkFtn
Wait.St.
Ice Chest
;Exam Sink
$~~lIY Sink
a~n~~irIs '
F PrePdSlrik
ServSink
, Inp,qrelllle, Trap
iExM~i;ease 'trap,
" R'P,Z;Vaive
~hampSir:ik
,(Flr!WsfSink
---'-'--
Catch Basin
Wash Fin
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Stlindp Rec
EytWashStn
Wtr Sewer'Mtrs
Dtt!uctMeters
W'trJ)sage Mtrs
~.
~
Electric Contractor
Use I Nature of Work
DEPARTMENT OF
COMMUNITY DEVELOPf-1ENT
, ERVICESDIVISION
~s1iJ
Sanitary Sewer
$tormScwer
WaterService
4/05