HomeMy WebLinkAbout0127361-Plumbing (water heater)
G
OSHKOSH
ON THE WATER
Job''Al'Idress 1130 N WESTFIELD ST
CITY OF OSHKOSH
No
127361
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner EVERGREEN MANOR INC Create Date 10/18/2007
Category 441 - Industrial-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
Contractor WATTERS PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
Install new 100 gallon gas commercial power vented water heater.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1608640000
$6,000.00 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 PO BOX 118
MENASHA
WI 54952 - 0118 Telephone Number 920-733-8125
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.
FAX 920 733 2713 WATTERS pLUMBING ............ City of Oshkosh
~O/17~'007 WED 13"9
" .
City of Oshkosh
Ins'pection Services Division
P () Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236..5050
Fax: (920) 236-5084
~o 0 1/ 0 0 1
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PhJ.lmlbnng PermRt Application
T hereby apply for a pel'mil: to do and il1stalll:he following plumbing on the premises hereinafter described, the work to conform to tbe
V/iscol1sin State Plumbing Code, in I:he performance of which a.1I parties hereto ;';.gree to and are bOllnd by said stat.utes.
$I Application(s) '~1.nd fee(s) can be brought to City Hall, Rool1l 205 or mailed 1::) Inspection Services, PO Box ( 128,
Oshkosh WI 54-903-1 (28. Commencing work without perlllir:(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is great!:w.
OR
.l.f.Xf!..1L_(J.f..5!.JLI;,.,fl.!1!..r:.Pc (OL_/!JJU/f.i/J (J ( i 'lg_l!L.aIJL..!.'fU:mjL..Ji.g.g..d.(J.'PHJ?J..!S~J!.,Y..f!!.l?L .'<<luU?!J.J~g._!!d..r;,!1?!..!!.LltJJDLd..y.,...~:.luu:..k.lUU:Ji
Lf.Y.f.lKJjYlJJJ_Ll1j!LJJL<19..5l.,'i,.tg.f.LlI1I~f}J..{.i~11....1UZ.Ml::_.qLr,:fJ.11..IJ..L...O
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.Joh Add R'ess.l1.3 ....J',J...~.JJ_.e:;j.bg.-ejOL..
c
Own en- l Ll~i.yr..fJun__...gt.-F..~Il.JX1.Il1.;--t::__'"
DSh~gJe Family []lJluplex [J1Vl1i~!i.i...TW:ui\/;i>>y
VaRuc (Inclnding lahor al1l1 Il1H[erial~.~D..Q.O_-..__...._._... IJ2I.t~_lQ)!7 iY. '7
__ .LJfl,,~JC6 -_._..P1J..lJd.~.L..y1.'---'-'--"-"'--------"
LIRCl!lt~R ;ps:rCommerci~B []lndustn-fial
Number of Fnxf:m'cs:
Bafhlub
Whirlpool
[,avalory
Toile!
Res. Sink
Bar Sink
Walcr Heater .....t........
I i (j"s I I Elccl)o1 l'wrVnl
:';howcr
FlnnrDrain
1.IldlY Tmy
Lab Sink
('laster Silll,
Sferili7.cr
Misc
Fixlmes
Electric COli1l tr~c:tOi1r
C(mtlrado~-
!Jispos<l1
f)i~hw"sllt",
Sump Pnmp
l~icel(lr/Gnlld
Wal,;r sonncr
Local W<lsle
<:Iolh,:s Wshr
Hider
lk"r'l'<I11
CI<lssrll'1 Slnl<
~HI'J.;Gnns :)1111<
Hreal<l'lll iiink
Dip Well
l.!l,sc; l;hlls
_.'--~--" ~- ~-""".._-_..._~_.~.,_.__.._..._...~._,.~.
--_.-. ..._-'-~~....-...~.._..~.._~_.~_.---_...- ..-........ -"'.
Use / NatlP.R'c ofWoJrl~__..__..._...._ .
Sanitary Sewer
Storm Scwer
Watcr Serviee
_.__._-...~_...._.,......_--_._......~..._....,.-
Size
Mal:erial
Type.
.--_..-.^..._.....~--_......-- '.'.........-...-.... .-........ .,.-
Drink Fin
Wail.:;l
le:<: Ch(;~l
Exall1 Silll,
Sell")' Sink
1.lalld SlIlk
F I'ft:p :;;nl<
S<:rv SIIlI,
1111 Greas<: Trap
I;.xl (;r<:J\~e Tn,!,
R P.i: Val v,;
Shal1l]1 Sillk
1,'lr/WsiSilllc
<:,,1(:\1 Bllsin
Wll.~h FIn
[Irillal
Oar Dmill
Soda Disp
com:,: Maker
COnlin Ice; Maker
flilc Drain
Roornmill
Stallc{pRcc:
Eye Wash SIll
Wlr Sewcr Mln:
Deduct Mde;rs
WI!' IJsagc: Mlrs
!PR.
[]lfJedrk h~:~talBatMm VerificatiOKli form attached
(lfRephleCInCIIt)
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II
ClI1n. Type
......-..., .~,..... _~..._.__.'_.n_. ...... _....~.__...
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