HomeMy WebLinkAbout0128200-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 2210 GOLDEN AVE
CITY OF OSHKOSH No 128200
PLUMBING PERMIT - APPLICATION AND RECORD
Owner STEVEN/KRISTINE S FREDRICK Create Date 12/1812007
Contractor O'NEILL ENTERPRISES INC
Category 41~=-f3.El~i~~r1ti~I~Y"~~r_lje~~r~
Plan
Shower Water Softner Wait. St. Shamp Sink Coffee 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
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature ~FR / REPLACE GAS WATER HEATER **debc.icCi-----------------------~----~--c----
of Work
I
1______-
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0618030000
$25.00
..._~_.._.__._----
Permit Voided
Valuation $650.00 Plan Approval _____$QcQ.Q Permit Fees
Issued By &-i"\2J
Date 12/18/2007
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 522 \!\16TH ~,!E OSHKOSH .. WI ?~902. - 5~1.? Telephone Number 920-230~2007
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.
~12/18/2007 14:13 FAX 19202302008
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
ONEILL ENTERPRISES
l4I001l002
.
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Plumbing Permit Application
J hereby apply for a pennit 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
Ifvou are a contractor participating in the Permit Fee Account System and have adeCluate funds. check here
if YOU want this processed through your accountR '
** Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted
with the pennit application. Applications submitted without an EIV when such is required, will not be
processed for Permit 7 and will be t<tumed fur comp1etion. /;;
Job Address ~ J 0 ~ {iJJf.. Value (Inc1udillg labor and materials) ftJ!:j)J {JfD Date /~. /8. 01-
,?l:ner Sl;JJt .F/~ Contractor OVf2il} Y.n1PA~~ Inc.
~ingle Family DDuplex DMulti-Family DRental DCommercial DIndustrial
Number of Fixtures:
Bathtub Disposal Drink Ftn Catch Basin
Whirlpool Dishwasher Wait.St. Wash Ftn.
Lavatory Sump Pump [ee Chest Urinal
Toilet Ejector/Grind Exam Sink Gar Drain
Res. Sink Water Sonner Sculry Sink Soda Disp
Bar Sink Local Waste Hand Sink Coffee Maker
Water Heater --L- Clothes Wshr F Prep Sink Comm, lee Maker
"1i Gas 0 Elect 0 PwrVnl Bidet SeTY Sink Site Drain
Shower Beer Tap [nt Grease Trap Roof Drain
Floor Drain Classrm Sink Ext Grease Trap Standp Ree
Lndry Tray Surgeons Sink R.P.Z. Valve Eye Wash Sin
Lab Sink Breakrm Sink Shamp Sink Wtr Sewer MlIS
Plaster Sink Dip Well FIr/Wst Sink Deduct Meters
Sterilizer Hose Bibs Wtr Usage Mtrs
-
Misc.
Fixtures
Electric Contractor (for projects not requiring an EIV Form)
Use/Nature of Work JtJjJ~ {)YL/JA 11ILti:fJu
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
07/07