HomeMy WebLinkAbout0127864-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 1845 OLIVE ST
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner FRANCINE L TILLMAN
Contractor 0 R GLAZE PLUMBING
Category 411 - Residential-Water Heaters
Shower
Floor Drain
Water Softner Wait. St. Shamp Sink
Local Waste Ice Chest FlrlWst Sink
Clothes Wshr Exam Sink Catch Basin
Bidet Sculry Sink Wash Ftn
Beer Tap Hand Sink Urinal
Lab Sink Plaster Sink Standp Rec
Sterilizer Surgeons Sink Ice Maker
Dip Well F Prep Sink Gar Drain
Drink Ftn Serv Sink Soda Disp
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
UselNature IIsFR / Replace gas water heater.
of Work .
"
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
EjectorlGrind
._.._______ ______...__._~____.__.._.__.___~_. ._...~_____._" ,._____.______.._ .._._n ..__
I
L
No
127864
Create Date 11/16/2007
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
I
I
_.._._.___~~_______.__J
Sanitary Sewer
Size
Material
Type
#
Conn. Type
Storm Sewer
Water Service
Parcelld #
1217520000
Valuation $750.00 Plan Approval
Issued By -'-2?~,)o
$Q.QO Permit Fees
$25.00 0 Permit Voided I
.....__...._._........____....1
Date 11/16/2007
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 1865 JAMES RD
OSHKOSH
WI 54904 - 6873 . Telephone Number
920-589-4014
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, 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.
City or OshkOSh
InspcchoU- S'lt><jc(ls Ou.'lsion
POBox H30
Osb1msh. wt 5.texl}.11:m
Phone: (920) 236.5050
Fax: (920) 236.508..
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Plumbing Permit Application
I hereby appJy for a "emut 10 do and illsudJ the foOllowing ptUlnbmg 011 the promise) ocrclnaflcT dcscri~ tl'IC work to C'ommul to l~tC
Wist.'~us.tO State Plumbing Code. in the performance of which aU panies bm:to agree 10 and. arc bound b~ said statutes
. APJ}licationls) and feefs) can be brought to Cify Halt Room 2(15 or maiJed to Inspection Services. PO Box 1128,
Oshkosh wr 5490J.112-8, Commencing work l.".ttbout pcmti1{s) will result in fucs being doubled or S100,OO pluS' dtc
nornw p,nl1it fut, which ever is greater,
OR
!LY.QIJ are a con/rlJe/f;' partic:iPDling in lite I!et:.mil Fee .1.rCOI/!!1 ~fu!l!..m ..f:!.!}J{ have adeqUfllt! fumf.'....c.1ti!l-'k here
tf. VOJl ""ont this pToce.'1:l;ed Ihrollgh "0111' QU:llMW
Job AddJ"e!S~1~4~ QWV~ S..,
()wDt:r H/lNCtNE" 11Llft14...J ~\'rat\trt
~Dgle VatDily DDupk'l OMulti-Ii'amily
Value fin.:WlIg 1_llr ami ma!'rri"t..) 'f7r:;O~
1-1:.- 6L.4~Z;: PU3~
ORental
Date U/tS/2oolZ
DCommeTrial
Ofndll5triaJ
Number of Fixtures:
Ploof' nrain
tl.'CJllWilJ;W
C~ "',<<fIt
ni.lrl
Hc.'cltTl1jl
C~m Sink
Surg<.....m Sink
1Jn.>akrnl Silk
l)jp WdJ
l1~~H~1'
I.>rlrll J.)n
)\'fl;il. ~'1
m~'ttl."^
r.ll~m si,u.,
S,;ulr:r gink
J la~ S.ink
!~ .lftp.Sink
SMv Sin"
Catc" :Aasm
W,,;;!'f'l'!
lWhlub
\,Vbtrlpo{/l
lJispo-l
Dishwasher
TI.~"\..m\1"11
'l1Iamp 'hmtp
"F.j""-l('lI'f'IT;ncl
\Val,,1' Sn, tUllf
.. o.~\
S;mWllT
1111 {;rC11~;: Trap
I::xt fJr""ll'>~ Tf.'l-'"
JIl'.P.l., Valve
Shmlp" Smk
J'1r.iW;;l Si.llk
ll~r lx.iA
S.ldll Vi<p
(:~f~ Mak<!t'
Cmnm. n,~ Mal<:t'
Sit.: Drain
~l)l.if tJrtlin
"(~'lflp R~..
F."l:': W..sh SIn
\\:"11 StWCf" M.lT<>
l,,;icJ
~f1. Sir.f<
nllf Sink
W.n,.;,r lI;;ater --1.--
~r""" -: fk........ f1 Pwr-Vl\l
l..ddt,. 'J~
.Lab Sink
l'I.ast.-r ~illk
Lkdlltt \fdl..,"
Sterili",<:t
\li~.:.
N;;;IIlR'!>
'\in'! l,;-af,c 1\ttrs
Ele~trk CODtrador
lJN
OErectrit lostaJlation VerificatioJI form attached
{If Rej1!""cn,.;nll
Use/Nature orWork ~lAC.e:- ~~~_ AA-r',__.GA..r f&t> ~
.....,.._--
r~ _.r
f Stonn Sew(:r
I Water Se,n:ice
.
Si....e Maacrial
Type
#
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