HomeMy WebLinkAbout0128221-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 1703 CRYSTAL SPRINGS
Contractor M P KELLY
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
CITY OF OSHKOSH
No
128221
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner MARGARET G NORTON Create Date 12/19/2007
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
SFR / REPLACE GAS WATER HEATER "check #8965 .
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1308900000
$0.00
$25.00 D Permit Voided I
Permit Fees
Valuation $975.91 Plan Approval
Issued By ~6-
Date 12/19/2007
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 54901 - 4431 Telephone Number 231-1750
Address 665 N MAl N ST
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.
City of Oshkosh
Inspection Servic;es Division
POBox 1130'
Oshkosh, WI 5490'3- U30'
Phone: (920) 236.:.5050'
Fax: ,(920) 236~5084
PlumbingPerl11it..Ap:plication
@."
~
OJHKOfH
. I' ON THf WATEr?
I hereby apply for a permit to do and install the folloWingplumbfug on theprernises hereinafter described, the worktocQ!jGrm;Jo the
Wisconsin State Plumbing Code, in the performance of which aU parties hereto: agr.ee tq and are bound by said statutes.
· Application(s) and fee(s) can be brought to CityJlall,Roorrt2Q5QrmailedtoInspectionServices, PO Box il28,
Oshkosh WI 54903-1128. Commencing work withoutpermit(s)"Wil1r~~ri1t-in fe'es being'.doul:>:led.Qr $100 .00 plu~the
normal permittee, which ever is greater~ ".
OR '., .
I .ouare a contractor artici ati1iin'fhePerrfritFeeAc-cou JSsiemandhaveade
if vou want this processed throughvo,u.r acc()un'!. n .
/../"
check here
Job 'Addre~s
. OWner
~iDgle Family
'OM~ti~Fa~y
, .
Number of Fixtures:
Batbtub
Whirlpool
Lavatory
Toilet
Res. Sink
;Di~posal
Dishwasher
Sump Pump
Ejector/Grind
Water Softncr
LocafWaste
Clothes Wsbr
Bidet
Beer Tap
Classrm Sink
. .
..,~
DrinkFtn
Wait.St.
. Ice Chest
,Exam Sink
$~~!':YSink
fi~~;@~';"
F Prq)'Shik
Se-rvSiitk
'lnH'iF~a~el)'ap .
>Ext,Qi;easetrap
'. RP:Z'Villv.e
.~hampYSirtk
. .dnrl.WsfSilt~.
~.,
:~. ,~, e",,' .
~
Wat Heater L
GasUElect 0 PwrVnt
.~
'.----
Fioor Drain
Lndi"y Tray,
Lab Sink
Plaster Sink'
Sterilizer
Misc.
Fixtures
~
.,,---
. .
SUrgeons .Sink
Breakrm'Silik
Dip Well
~.
"
~
. ItI'J{j:2
....Jate I~!.'.'.
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda D.isp
Coff~ Maker
Ice Maker
Site Drain
RQO.rDr~in .
.'Stii.t:ldp Rec;
. EyeWlislr$tn
WtrSewer.Mtrs
De.Qtt(!!'Meters
W;trJ;JsageMtrs
Electric Contractor
Use / Nature ofwork4~~ 9
Size Material
. ..'., .".'., ,"
. ..... . "
.OR ...~leetric;.Insta.lI~tion Verifieati~n:for.m att!,ched
~ ;JJ!-~_I)
TyPe:." :<,'CQ~in;,T~e.;;. .'
Sanitary Sewer
.YStormSewer
.ls::'
I .;. WaterService
("...GJ
~~
4/05
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