HomeMy WebLinkAbout0128082-Plumbing (water heater)
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OSHKOSH
o~ THE WATER
Job Address 860 JACKSON ST
CITY OF OSHKOSH
No
128082
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner T & J INVESTMENTS Create Date 12/07/2007
Category 411 - Residential-Water Heaters Plan
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest FlrlWst Sink Int Grease Trap
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
Contractor D R GLAZE PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
Install new gas water heater to unit A.
-
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1006220000
$750.00 Plan Approval
$0.00 Permit Fees
$25.00 0 Permit Voided I
Date 12/07/2007
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
OSHKOSH
WI 54904 - 6873 Telephone Number 920-589-4014
Address 1865 JAMES RD
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.
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Plumbing Permit Application
I ~ apply for:J .,emut to do and inslail dte follOwing ptwnbmg on I Ix: pf01n~ hcreimncr described the ,,<<k to comwTtt to lIte
W1SI.:onsJ,tt State PJumbing CDde. in the petfonnance of which.aU panU5 ~lO agree itc and arc bound b~ said statutes
. Application(s) and fcre(s) can Ix:: brought to City HalL Room 2~ or mailed to Impedion ScfYiccs. PO Boll 1128.
Oshk<Jsh wr 54903.1128. Commencing ,york ".ithOUf pcmti1{s) wtlt n:sult in fi:cs m:ing doubled or S 1 ()(I,OO piuS' dtc
normal pumit fee. which ever IS grearcr,
OR
1Ij:9JL!1!~ a con/roc]!!? partic:iJ!.lIlinJl in lite l!erlllil Fee .4{"tDt(.1J.!.....\'1l.!!ffl1t...!!!ltl hpve ade fJU ole illrufs.....;;lllJJ!k hire
do VOIl "''1M {hi., PT{)ce.'t..~etllhr~tz~g,/!,S.t)iI' accpvnLD
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Job Add.rt.!S~ :rAcf(S~ S1" Valueiilto:'ludlllg'.trW'ldmau-rilllu.) II'lSOtJ!i Date 1I(3t>{2l:tfl
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1....lb Sink
f'lastet l'Iink
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Rr l. Valve
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S"r;\a t)j~
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Sleriliz~t
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Halt Tnp
C!~n sw.
StIr~ ~nk
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F,l(lIm Sf""
s,,-ulry ~ink
Hallti Sink
JI" ae,. Smk
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OElectric IdftaJlatMao V~ri(jratioJl form attached
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Use I Nature .rWork ~HI.ACt G.s .!1z.'i:>...if1T{~___;?jJ .e"t.!>>~ tAX rr.
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