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Home My WebLink About0128006-Plumbing (water heater) . OSHKOSH ON "tHE WATER Job Address 1620 IOWA ST Contractor Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures CITY OF OSHKOSH No 128006 PLUMBING PERMIT - APPLICATION AND RECORD HOMEOWNER Owner GLENN AlAMY J ANDERSON Create Date 11/30/2007 Category 411 - Residential-Water Heaters Plan Water Softner Wait. St. Shamp Sink Coffee Maker Local Waste Ice Chest Flr/Wst Sink Int GreaseTrap 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 Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind I Use/Nature Replace gas water heater. of Work Valuation Issued By Size # Conn. Type Material Type Storm Water Parcelld # 0908390000 $1,000.00 Plan Approval $25.00 D Permit Voided I $0.00 Permit Fees Date 11/30/2007 The undersigned, in applying for a plumbing permit to install plumbing in a single family home owned and occupied as the principle residence of the undersigned, hereby acknowledges, per Wisconsin State Statutes, ss 145.06, that other individuals will not be employed to assist with the work described by this permit. If an individual will be employed to install plumbing the work involved must be ered by a permit issued to a properly licensed Master Plumber. erform all work pursuant to rules governing the described construction. Date / / -d-9-c;) r- Agent/Owner OSHKOSH Address 1620 IOWA ST WI 54902 0000 Telephone Number 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. 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. City of Oshkosh Inspection Services Division POBox 1130 , Oshkosh, VVI54903-1130 P}Jone: (920) 236-5050 Fax: (920) 236-5084 ~ OfHKOfH ON THE WATER 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 VVisconsin 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 VV1 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 If YOU are a contractor particioating in the Permit Fee Account System and have adequate funds. check here if YOU want this orocessed throuzh your account n ** Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Elec1;rical Contractor or Homeowner (for installations allowed to be performed 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. Job Address ./ i d-O .1"OtJOl Value (Including labor and materials) /~, t:)-<"/ Date//- J c1 ~D} ~ner C. ~ingle Family 4,. c/Uf(/"\. DDuplex Contractor DMulti-Family ~L-v/).er DRental DCommercial Dlndustrial Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater -L- ~Gas 0 Elect iJ PwrVnt Shower Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Disposal Dishwasher Sump Pump Ejector/Grind Water Softner Local Waste ClothesWshr Bidet Beer Tap Classrm Sink Surgeons Sink Breakrm Sink Dip Well Hose Bibs Drink Ftn Catch Basin Wait. St. Wash Ftn Ice Chest Urinal Exam Sink Gar Drain Sculry Sink Soda Disp Hand Sink Coffee Maker F Prep Sink Comm. Ice Maker Serv Sink Site Drain Int Grease Trap Roof Drain Ext Grease Trap Standp Rec R.P.Z. Valve Eye Wash Stn Shamp Sink Wtr Sewer Mtrs Flr/Wst Sink Deduct Meters Wtr Usage Mtrs Electric Contractor (for projects not requiring an EIV Form) Use / Nature of Work C;/o /~ C/ Size Material Type # Conn. Type Sanitary Sewer Storm Sewer VV ater Service 07/07