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HomeMy WebLinkAbout0127429-Plumbing (water heater) G OSHKOSH ON THE WATER Job Address 922 ELMWOOD AVE CITY OF OSHKOSH No 127429 PLUMBING PERMIT - APPLICATION AND RECORD Contractor O'NEILL ENTERPRISES INC Owner TRADEMARK INVESTMENTS LLC Create Date 10/17/2007 Plan Category 411 - Residential-Water Heaters - --~---- ----------------------... .-,.---"---.--,.----.--.- Shower Water Softner Wait. St. Floor Drain Local Waste Ice Chest Lndry Tray Clothes Wshr Exam Sink Disposal Bidet Sculry Sink Dishwasher Beer Tap Hand Sink Sump Pump Lab Sink Plaster Sink Classrm Sink Sterilizer Surgeons Sink Breakrm Sink Dip Well F Prep Sink Ejector/Grind Drink Ftn Serv Sink Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature SFR / Replace electric water heater. **EIV provided by HullarElectric. **DEBIT ACCT**. of Work I i I I I L. Shamp Sink Flr/Wst Sink Catch Basin Wash Ftn Urinal Standp Rec Ice Maker Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs "'--'--'-~--~~'I I I Size Material Sanitary Sewer Storm Sewer Water Service Type Conn. Type Valuation $700.00 Plan Approval ~--~ ~~-,-Q.Q Permit Fees Parcel Id # 0505600000 Issued By # $25.00 D Permit Voided j ._-~-~~- Date 10/23/2007 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 Address 522 W 6TH AVE Agent/Owner OSHKOSH Date WI 54902 - 5916 Telephone Number 920-230-2007 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. i10/15/2007 16:03 FAX 19202302008 City of Oshkosh Inspection Services Division POBox 1130 Cshkosh, VVI54903-1130 Phone: (920) 236-5050 Fax: (920)236-5084 ONEILL ENTERPRISES I4l 001/001 .'..,.,..,',..,....,. :-. ,.:........ ~.."..- .. - -.. '. . ,'J ...., .: :~. l.J'Z( :';; ':;': ., ..- ,. " ." . . . .. . .... ,.. .' -.,-:."..,.,,,,,;, ": .', ....#.':. .. ~. ,~ - .-' . ... . .-... -." . ,~ ,. . -.;. ..,;: ~,"":-.' . ," . .. . ... OIi'''''' ".":"~R' . '. . . . . . ".' . -... .... . - ." .. .... . " "'-~' ,"~'" -.>:: Plumbing Permit Application I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the Wisconsin State Plumbing Code; in the performance of which all parties hereto agree to and are bound by said statutes. . Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PC Box 1128, Cshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100,00 plus the normal pennit fee, which ever is greater. OR unds check here ** Advisoty - For applicable projects, an Electrical Installation Verification (EIV) form, siped by the Electrical Contractor or Homeowner (for installations allowed to be performed by the homeowner) mOst be submitted with the permit application. Applications sabmitted without an EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. .._ JObAddressg&.'O\ce~st Value (IncludinglaborandmateriaJs) JOi).oo '. Date.1.OJ.5&0 Owner \.1~~~.. Contractor _ ~itU. ~J mG.. DSingle Family DDuplex DMulti-Family ~ental DCommercial DIndustrial Number of Fixtures: Bathtub Disposal - Drink Ftn Whirlpool Dishwasher Wait St Lavatory Sump Pump Ice Chest Toilet Ejector/Grind Exam Sink Res. Sink Water Softner Sculey Sink Bar Sink Local Waste Hand Sink Water Heater --1--- Clothes Wshr F Prep Sink o Gas~lect 0 PwrVnt Bidet Serv Sink Shower Beer Tap Int Grease Trap Floor Drain Classnn Sink Ext Grease Trap Lochy Tray Surgeons Sink R.P.z. Valve Lab Sink Breakrm Sink Shamp Sink Plaster Sink Dip Well Flr/Wst Sink Sterilizer Hose Bibs - Catch Basin Wasil Ftn Urinal Gar Drain Soda Disp Coffee Maker Comm. Ice Maker Site Drain Roof Drain Standp Rec Eye Wash Stn Wtr Sewer Mtnl Deduct Meters Wtr Usage Mtts Misc. Fixtures - ( '" l /J/J .,.. Electric Contractor (for projects not requiring an EIV Form) ..::JlJIJ J(Y~ Use I Nature of Work l~ ?<.Jttiu.. M.a~ ~;bj.~ Size Material Type # Conn. Type Sanitary Sewer Storm Sewer il~ ~ \~1 Water Service 07/07 ~ OfHKOfH ON THE WATER City of Oshkosh Division ofInspection Services 215 Church Avenue PO Box 1130 Oshkosh WI 54903-1130 Office 920-236-5050 Fax 920-236-5084 Electric Installation Verification I (We) JJ~ )1,., [,In/n { (Electrical Contractor Name or Homeowner's Name) Lf13t (Address) tv- '1/\ J~raL C?~ L /::"'" l (City) tv-; (State) Sy 10<--/ (Zip Code) accept the responsibility to perform the electric work as stated below, at the following address: '112 t / (\ "L-QocA SJ- 00 L k~~ ( i-J J,.Y90) (Address where work will be performed) The nature of the work consists of: (Check One or Describe the Nature of Work) LA:onnection or new circuit for replacement Heating Plant andlor AlC Condenser. Reconnection or new circuit for replacement Electric Water Heater or power vented water heater. Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles and lighting fixtures due to siding I soffit installation. Note: New Service Entrance Cables will require a separate permit. Reconnection or new circuit for the replacement of other permanently wired appliances I fixtures. New circuit for the addition of AIC to an individual dwelling unit, including required service electrical outlets. Note: Homeowners can only do their own electric on a single family owner occupied home. Work on a condominium, duplex, rental, or multi-use building would require a licensed Electrical Contractor. Other The value of this work is $ r; 0/0-:) I hereby verify this work will be performed in compliance with the License requirements of Section 11-22 of the Oshkosh Municipal code and further verify the reconnection I installation will be done in compliance with manufacturer and Electric code requirements. If kl 11 /l,,, (Print Name) 10/2J/6'? (Date) E 19nature of Company Officer or Homeowner) 07/07