HomeMy WebLinkAbout0128195-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 308 E PARKWAY AVE
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner JOLLlSA PROPERTIES LLC
Contractor SBS PLUMBING LLC
Category 411 - ResidentiCiI:Water Heaters
No 128195
Create Date 12/17/2007
Plan
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature t5UPLEX(lowerunit) / REPLACE GAS WATE-IHiEATER **cfe;btaccC--------------------------------------
of Work
Valuation
Issued By
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
Ejector/Grind Drink Ftn Serv Sink Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Size
Conn. Type
Material
Type
#
Sanitary Sewer
Storm Sewer
Water Service
$800.00 Plan Approval
$0.00 Permit Fees
$25.00 0 _Permit Voided
Parcelld #
0403290000
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
Address 4635 RED FOX RD
Agent/Owner
OSHKOSH
WI 54904 -7784 Telephone Number 920-410-5933
Date
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.
L
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9202303657
p. 1
CitYl)f~
~SeMces Dirisiw
P o Box. 1130
OibTrmll. WI ~903-1130
l'htme: (9ZG) 236-5050
Fax: (920) 236-S084
Plumbing Permit Application
I heteby applY mr a peanitfJ)do ami iDsIa1l1he ibllowiDg plambiDg OR the pu:wise6 }.d.l"..;....~ described. the vrorlc:ta lOUniwu. to the
W"~ Stab:: Plum1riug Code. in 1JJc pe..ro... .A~ of which an parties hexem:ftgteC ~ and me bound by said sfa'l'l:IteS..
l!l Applicalion(s) and fee(s) can be brought1D City Baa R.oom2OS ormailcd to ~on Services, PO Box 1128"
Osl'ikrn:'b WI 54903-1128.. C~gwotkwitlwutpl::....a(s) wilhesultin:rees being doubled or $100.00 plllS the
normal pennit fee" which ever is lr~'
OR
lL rou are II. contract T
i {JU 'Waftt 'Ibis roce droll h our account
o L-ovJt.r \,}II'\ ~ ~ ~ (/ fl 0 ()
;rob Address 2> m \l1\r ~vlV\~ V__---- - uf)'
Owner 3o\\~CjC\. \>ro~ ',e-;. CoDtJ:actor ~~S \>\Ij'N\'q,'~
Osmgle Family []Daplex []MuIti-FamiIy ~ml Ocommen:ial
Date }J - ,-7..()7
(JudastriaJ
Number of Fiz:tDr'es:
BatlmJb
wtmtpool
IJmm1ry
ToDd
Res.. Sinl::
BarSillk _
Wau:r Hl::at1:T --L-
),G:ts 0 Elect [J PwNm
Shower
F'Ioor Dr.!iD
U1dry'Tray
tab Sink
Plaster Sink
~
DispasaJ
DislrwaslIcr
SuDIp Pump
~
'WaIlltSo1bmr
Local Wasu:
C/otJIeS.Wsbr
'Bfdon:
BccrTap
~SiJlk
S1I1'gE:cJI!; Sink
Breakrm SUlk.
DipWc1J
Hase Bibs
D:rink An
W8it. St.
Ir:l: Cbcsl
&am Sink
ScukySiDk
Bad Sid;
l"Pn:pS"'mk
Senr SiDlt
mr.Gr=Tmp
&tG=zsc:'1Dp
R.P.z. Valve
Shamp Sink
FlrIWstSiDk
CaII:l Baliiisr
W'ISil f'IIl
UriDaJ
Gar Daiin
Sum. Di:lp
Cafli:c Mam-
CcaIm.. Ice MlI1cet
Sifc Dram
RDofDraiD
StuIs1p Bee
Eye Wzsh Stn
Wtr Sew=r MlIS
D=luctMe:tt:r5
Wlrth:aFMus
-'---
Mise-
Extutcs
Electric Contractor
-L
Use I Nature of Work
She
Re~\~
MamriBI
OR Omectric IBstaUation VerifieatiOJ1 form attaehel
(If~OC4t)
'~O~
Type
;{I:
Caon. 1)pe
Satrlimy Saw=r
SiOOnScwet
Water Se.trice