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HomeMy WebLinkAbout0127350-Plumbing (water heater) e 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 @ ~ 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} ~ ./ check here , , 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