HomeMy WebLinkAbout0127352-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 511 W NEVADA AVE
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
127352
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner GERALD UJANET M FOX Create Date 10/18/2007
Category 411 - Residential-Water Heaters Plan
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest Flr/Wst 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 power vent water heater. EIV provided by T Ruck Electric.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1208680000
$1,478.00 Plan Approval
~
$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
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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~
OfHKOfH
. " ON THE WATER
Plumbing Perm if Application
I hereby apply for a permit to do and install the following plumbing on theprenrises hereinafter described, the work toco~onn;to the
Wisconsin State Plumbing Code, in the perfonnance of which all parties hereto agree tQ and are bound by said statute.s.
· Application( s) and fee( s) can be brought to City JlaIl,Ro()m:205Qrmailedf6InspectionServices, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work Withoutpermit(s)wjllresultin fees beingdOl.i~le~lor $1 00.00 plu~ the
normal permit fee, which ever is greater; ,
OR "~
louare a contractor artici atinintlfePerm;itFeeAccoun,tSsiema.ndhaveade check here
;fvou want this vrocessed throuf!hVo,ur account n .
Job,Addre~sJ5.l\ tJ,-W~'
O~r ~~
l\21Single Family DDupJex
Contractor
. ctl I ..
Date 1~1'.()7
'DM1.~lti::'FaQ:lily
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
, B~rSin _
W ater (
, asH Elect ~wrVnt
Shower _
Fioor Drain
Lridry Tray.
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
~
",
;Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
ClassrmSink
SiJrgeonsSink
BreakrmSink
Dip Well
~
DtinkFtn
'Wait.S!.
Ice Chest
,Exam Sink
$G~!ry Sink
H~n~\~Ip~ '
F PrepSlrik
SetvSiilk
JntQrea~e Trap
;Ex~; <:ite,aseTrap
, KP,Z;Vaive
~hampSilik
'FlrlWsfSink
~
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
RQOfDraill
.Stalldp Rec
, EyeWi!shStn
Wtr Sewer'Mtrs
Dedti.qtMeters
WtrQsageMtrs
'-
.-~
Electric Contractor
~
Use INature of Work
Size
Sanitary Sewer
WaterService
~,6J
.iStormSewer "
4/05
~
OJR<OJH
ON THE W^TER
City of Oshkosh
Division ofInSpeclioil Services
215 ChllJCb Avenue
POBox 1130
Oshkosh WI 54903-1130
Office 920-236.5050
Fax 920-236.5084
Electric Installation Verification
I (We) .r1r&V)e~~c!n~Name)
(At) /<.). .&ft.. . tJ~~ ..
(Address). · (City)
;Jz:
(State)
have beencontracte<i toperfonnelectric in~tallationworkfo:r. .
(Nameofp
Sfl .tJ. M;AJa~CMJL
(Address where work will be performed)
at the following address:
The nature of the work consists of: (Check One or Describe the Nature of Work)
~.
Reconnection or new circuit for replacement Heating Plant and/or AlC Condenser.
Reconnection or new circuit for replacement Electric Water Heater orpower vented
water heater.
Reconnection of the Service Entrance Cable, Meter B9x, alterationsforeceptacles
and lighting fixtures due to siding/soffit installation. Note: New Service
Entrance.Cables will require.a separate permit.
Reconnection or new circuit for the replacementofother pennanently wired
appliances /fixtures.
New circuit for the addition.ofA.!CJoanindivitlttall$welling unit (hollseor the
. individua.l systems in a duplexc>tc;ond<>Il1iniu.-n),including required service
electrical outlets.
Other
~..~\I~..R~
RE\J ~ ,VI:
OCT 1 8 2007
the value of this work is $..JOO.a:J. DEPARTM~vNETl oOpFMENT
. COMMUNITY Dc .
, . .... . . .... .. . .. ... .... ... . .... ... . .... . .. ;PECT10N SERVICES DIVISION
I hereby verify this work will be performed by an employee of this compm\1fano tUrther verify
the reconnection / installation wiIlbe done incompliance with manufacturer and Electric code
requirements.
%(Jel
5/02