HomeMy WebLinkAbout0127619-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 1914 HAZEL ST
CITY OF OSHKOSH
No 127619
PLUMBING PERMIT - APPLICATION AND RECORD
Owner JOSEPH S/MARY ZMOLEK
Create Date 11/02/2007
Contractor O'NEILL ENTERPRISES INC
Category 4~_~~~ntial-l,IVaterJ:!~t_Elr~_____________ Plan
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Shower Water Softner Wait. St. Shamp Sink Coftee Maker
Floor Drain local Waste Ice Chest FlrlWst Sink Int Grease Trap
lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Disposal Bidet Sculry Sink Wash Ftn RPZ Valve
Dishwasher Beer Tap Hand Sink Urinal Eye Wash Statn
Sump Pump lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters
Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Ejector/Grind Drink Ftn Serv Sink Soda Disp
Use/Nature iSFRTRe-PfacegaswaTer-iieater.**OESjTACcf**.
of Work
Valuation
Issued By
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Size
Materiai
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1514816500
$600.00 Plan Approval ___~~:QQ
--------~
____ $25~QQ D_~':':f1~t.Y~~El~j
Permit Fees
Date 11/02/2007
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 e.asement 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
OSHKOSH
WI 54902 - 5916 Telephone Number 920-230-2007
Address 522 W 6TH AVE
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Nllmber, Type of
Inspection (Le. 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.
111/01/2007 12:56 FAX 19202302008
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
ONEILL ENTERPRISES
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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, PO Box 1128. Oshkosh WI
54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which
ever is greater.
OR
1
** Advisory - For applicable projects, an Ele.ctrical Installation Verification (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be peIformed by the homeowner) must be submitted
with the permit application. Applications submitted without an EIV when such is req.dred, will not be
processed for Permit Issuance and will b~ retomed for completion..Jt .
JObAddr...~,~~~. Value (Inol_moo,.oo7""'l. CoDE- ci) Dat."Il-l- tYf
~ner 0 .' Contractor 0 Mell ( t:::.n+--er~Y'JSe..S
~ingle Family DDuplex DMiJlti-Family ORental DCommercial . DIndustrial
Number of Fixtures:
Bathtub Disposal DrinkFtn Catch Basin
Whirlpool Dishwasher Wait.St. WashFtn
Lavatory Sump Pump Ice Chest Urinal
Toilet Ejector/Grind Exam Sink Gar Drain
Res. Sink Water Softner Sculry Sink Soda Disp
Bar Sink Local Waste Hand Sink Coffee Maker
Water Heater ~ Clothes Wshr F Prep Sink Comm. Ice Maker
)( Gas 0 Elect 0 PwrVnt Bidet Serv Sink Site Drain
ShoWer Beer Tap lot Grease Trap Roof Drain
Floor Drain Classnn Sink Ext Grease Trap Standp Rec
Lndry Tray Surgeons Sink R.P.Z. Valve Eye Wash Stn
Lab Sink BreaklDl Sink Shamp Sink Wtr Sewer Mtn
Plaster Sink Dip Well Flr/Wst Sink Deduct Meters
Steril izer Hose Bibs Wtr Usage Mtrs
Misc.
Fixtures
Electric Contractor (for projects not requiring an EIV Form)
Use I Nature of Work replace ~a~ lA...:U+<-.r V1eClte r
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
07/07