HomeMy WebLinkAbout0128216-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 1103 E PARKWAY AVE
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
128216
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner PETER J WESTORTIMARY ANN OFFER 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
DipWell F Prep Sink Gar Drain Wtr Usage Mtrs
Drink Ftn Serv Sink Soda Disp
SFR 1 REPLACE GAS WATER HEATER "check #8965
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1103410000
Plan Approval
$0.00
$25.00 D Permit Voided I
Permit Fees
Valuation $722.00
Issued By ~ ~
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 MAIN 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 Services Division
POBox 1130'
Oshkosh, WI S49O'3-113O'
Phone: (920) 236-50'$0
Fax: ,(920) 236~SO'84
~
~
OJHKOfB
. I' ON THE WATEr?
Plumbing Perm it.Appl ication
Ihereby apply for a permit to do and install the follow-ingplumbirtg on the premises hereinafter descnbed, the work tOCOn.$'lilt:m;JO the
Wisconsin State Plumbing Code, in the penormance of which aU parties' hereto: agree tq and are bound by said statute.s.
. .
· Application(s) and fee(s) can be broughito CityllalI,Room205Qrmailed.t0I:i1spectionServices, PO Box ll28,
Oshkosh WI 54903-1128. Commencing work withoutperq1it( s)will.r~-sulHnfees beingdouble~.or $100. 00 plu~ the
normal pennit fee, which ever is greater. . . .
~ . -. ~
Iou.are a contractor artici atin inlh(!Per.m..it,Fe~.Aci::ou f.S-siemand_hdvedde check here
if yOU want this processed throuf!hvo,ttr account n .'.
J<JUddress g~ ;t~ Valne (JM~di,g."'''d~''o)
Owner 7v' Contractor. ".
~gle Family DDupiex 'OMwlti::'Fa~i1y
'. /~/~..
nate 01/1
Number of Fixtures:
Batbttib
Whirtpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water..HClrter L-
(J2'6asn Elect 0 PwrVnt
Shower
Floor Drain
Lndry Tray:
Lab Sink
Plaster Sink'
; Disposal
Dishwasher
Sump Pump
Ejector/Grind .
Water Softner
Locat'Waste
Clothes Wshr
Bidet
Beer Tap
Classon Sink
, SiJrgeonsSink
Breaknn'Silik
Dip Well
DrinkFtn
Wait.St.
: , Ice Chest
,Exam Sink
~~Ip'Sink
.>>.n~l~I~, .
F Prep'Slnk'
Serv.Sink
. .1nt'qr~a~e Trap
'~E"t;Q~ase :l'r.ap
RP:ZiValve
~hamp"S!lik
..fFlr{.Wsts1i1k.
..~
Catch Basin
Wash Fin
Urinal
Gar Drain
~,
.-.-:..-
~
~
.~
Soda Disp
Cofl"~.Ma.ker
Ice Maker
Site'Drai)1
...RQO.tDrain .
Stiln<lj; Rec
. EyeW;islrS:tn
~
.~
~
...0.0....--
~.
.----
~
Wtr Sewer'Mtrs
.'.DeductMeters
,WtrlJ:sageMtrs
Sterilizer
Misc.
. 'Fixtures
"
~
,~
~
Use/NatureofWor'
OR."
V
. ,,".
. .
:QEleetri~;~nsta;nati~n Verific~ti9ij':(orin att!lched
~~R"l'''_l) ..
Electric Contractor
Sanitary Sewer
#
i,iG(1)1i;'fyPe....;;
'. .. .
Material
T)'pe '.'
f
iStorm.Sewer.
t.'
",,""
Water$ervice
....
4/05
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