HomeMy WebLinkAbout0127527-Plumbing (fixtures; water heater)
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OSHKOSH
ON THE WATER
Job Address 206-212 W 12TH AVE
CITY OF OSHKOSH No 127527
PLUMBING PERMIT - APPLICATION AND RECORD
Owner DALE M/SHERRY L HOTOVEC Create Date 10/23/2007
Plan
Contractor O'NEILL ENTERPRISES INC
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
Category 440 - Industrial-Interior
Wait. St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
Shamp Sink
FlrlWst 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
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature COMM #212 / Replace plumbing fixtures and electric water heater, EIV signed by Grover Electric "debt acct
of Work
Sanitary Sewer
Storm Sewer
Water Service
Size
Material
Type
#
Conn. Type
Valuation $700.00
Issued By Q::x):)8
Plan Approval
Parcelld #
0901240000
$0.00
Permit Fees
$28.00 D Permit Voided I
Date 10/26/2007
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.
110/23/2007 10:46 FAX 19202302008
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920)236-5050
Fax: (920)236-5084
ONEILL ENTERPRISES
14I 001/001
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Plumbing Permit Application
I hereby apply for a pennit to do and install the following plumbing on the premises hereinafter described, the work to confonn to the
Wisconsin State Plumbing Code, in the perfonnance 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, PO Box 1128, Oshkosh WI
54903.1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the nonnal permit fee. which
ever is greater.
OR
I
i
E e Account S stem and have ade
** Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be ped'ormed by the homeowner) must be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion. It
Job Add..... ~~/K.. Value (1""_ ."""1 """f'!'! D~e / (f :JJ3 001
Owner ~-----'-_ Contractor /lJ.P
OSingle Family DDupJex DMulti-Family ~ental
Number of Fixtures:
Bathtub Disposal Drink Ftn Catch Basin
Whirlpool Dishwasher Wait.St. WashFtn
Lavatory -----L Sump Pump Ice Chest Urinal
Toilet J Ejector/Grind Exam Sink Gar Drain
Res. Sink Water Soflner Scuhy Sink Soda Disp
Bar Sink Local W ute Hand Sink Coffee Maker -
Water Heater -L- Clothes Wshr F Prep Sink Comm. Ice Maker
o GasXElect 0 PwrVnt Bidet Serv Sink Site Drain
Shower Beer Tap Int Grease Trap Roof Drain
Floor Drain Classrm Sink Ext Grease Trap Staodp Rec
LndIy Tray -L- Surgeons Sink RP,Z. Valve Eye Wash Stn
Lab Sink Brealam Sink Shamp Sink WIr Sewer Mtrs
Plaster Sink Dip Well FlrlWst Sink Deduct Meters
Sterilizer Hose Bibs Wtr Usage Mtrs
Mise,
Fixtures
Type
Conn. Type
Electric Contractor (for projects not requiring an EIV Form)
, ~
Use I Nature of Work
Size
Sanitary Sewer
Storm Sewer
Water Service
07/07
FROM J0EATK[NS0N
FAX NO.
9202357124
Oct. 26 2007 03:10PM P2
~
QlHKOJH
pN t'Ht:: V,^ll:
City ol'ORhkosh
Oivisioo of IIlSlle..lillll Services
LIS Church ^venue
PO Bo>: 113(}
Oshkosh wI S4903-1130
Office 92tl.236-S0S0
Fax 920.236-5084
Electric Installation Verification
r(We) (;,..vau~v. FIe( t-r,'C
(Electrical Contractor Name or Horneownerls Name)
I , c: 0 s. C) c;, I-r..y co.f f2--J
<4ddress) (City) (State)
(Zip Code)
accept the responsibility to perform the electric work as stated below, at the following address:
~ JL tA/ 1 Jl.. +-1
(Addr~ss where work will be performed)
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 circ1..1it 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 / soffit installation. Note: New Service
Entrance Cables will require a separate permit.
Reconnection or new circuit for the replacement of other permanently wired
appliances / fixtures.
New circuit for the addition of Ale to an individual dwelling unit, including
required service electrical outlets. Note: Homeowners can only do their own
electric on'Q single family owner occupied home. Work on a condominium,
duplex, rental, or mu/ti.use building would require a licensed Electrical
Contractor.
Other
DU
The value of this work is $ d-, ~ S- -- .
I hereby verify this work will be perfonned in compliance 'With the License requirements of
Section 11-22 of the Oshkosh Municipal code and further verify the reconnection / installation
will be done in compliance with manufacturer and Electric code requirements. .
j)~~\~ ~V/'
(Print Name)
J O.--;;t /- 0 7.
(n~rc) .
07/07