HomeMy WebLinkAbout0128028-Plumbing (water heater)
e CITY OF OSHKOSH No 128028
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1216 WISCONSIN ST Owner FREMONT PINES LLC Create Date 12/04/2007
Contractor SAMMONS PLUMBING
Categ ory 1l1_~.~E'l~icle_~0ClI-\,'\/a.~uH_eCltE'l~_ ....
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest FlrlWst Sink
Lndry Tray Clothes Wshr Exam Sink Catch Basin
Disposal Bidet Sculry Sink Wash Ftn
Dishwasher Beer Tap Hand Sink Urinal
Sump Pump Lab Sink Plaster Sink Standp Rec
Classrm Sink Sterilizer Surgeons Sink Ice Maker
Breakrm Sink Dip Well F Prep Sink Gar Drain
EjectorlGrind Drink Ftn Serv Sink Soda Disp
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
UselNature i,SFR / Replace gas water heater. **DEBIT ACCT**.-------.-------~.-----
of Work
i
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
:
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
$0.,00. Permit Fees
$25.00 D Permit Voided i
---------~
Parcelld #
1203080100
Valuation ___ $.~90.00 Plan Approval
Issued By ((/rYi.O
Date 12/04/2007
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
AgentlOwner
Address 5~?\,/Ij.uIli1LJ~.!:J9~'5~_"".E:m__.____n__ n__. <?_SH.I5c:>~.f:l.._____ WI 54901 -- 2298 _ Telephone Number 2}1-9889. _,,__n_
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.