HomeMy WebLinkAbout0128225-Plumbing (water heater)
. CITY OF OSHKOSH No 128225
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1638 WHITE SWAN DR Owner THOMAS J/CHARLEEN M ZIEBELL Create Date 12/19/2007
Contractor M P KELLY
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
SFR / REPLACE POWER VENT WATER HEATER (Per plumber, no electrical necessary) "check #8965
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1523120000
Category 411 - Residential-Water Heaters
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
$0.00
$25.00 D Permit Voided I
Permit Fees
Valuation $1,237.04 Plan Approval
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
Address 665 N MAIN ST
Agent/Owner
OSHKOSH
WI 54901 - 4431 Telephone Number 231-1750
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.
City of Oshkosh
Inspection Servi~es Division
POBox 1130 .
Oshkosh, WI 54903-1130
Phone: (920) 236';5050 .
Fax: .(920) 236~5084
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OJHKOJR
. \' ON THE WATER
Plumbing Permit .:Ap:plication
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I hereby apply for a permit to do and install the following plumbirtg on thepretnises hereinafter described, the work toCOti.Qtn:;lf'Jo the
Wisconsin State Plumbing Code, in tbeperfonnanceofwhich all parties' hereto: agree tq and are bound by said statute.s. . .
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· Application(s) and fee(s) can be broughfto CityJlal1,Room.2Q5QN~tuliledt6I:i1spectionS~ces, PO BoxH28,
Oshkosh WI 54903-1128. Commencing w()rkwithoutPern1it(s}Wjllr~s,ult:ii1 feesbeingdou~le~or $100.00 plu~th.e
nonnal permiHee, which ever is greater~ .
OR ....: .... ". ." .... ..~
If vouare a contractor particivatinghitHe:PermitP/!e'1c,cou.n.t'Svs-iem.a.1'ldhaveddequatefuttds. check here
if vou want this processed through Vo,ur acc.ount '. n ," . . . .
;rob Addr~sJ ~ 3~ W L~ ~lue (fu<1",~gl""",,,,,,,,'I;'
Owner' '-ro M 21 ~ ~ .Cont~actor .' .::,.>'::'... ::.
ingle Family DDuplex 'OM~~lti~Ji'a~ly
,J. "
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
W~ter Heater --L-
o Gas.oE]ect~Vnt
Shower
Floor Drain
Uldty Tray,
Lab Sink .
Plaster Sink
:Di~posa'
Dishwasher
Sump Pump
Ejector/Grind
Water Softncr
Loca1'Waste
Clothes Wshr
Bidet
Beer Tap
ClassrmSink
,Surgeons Sink
Breakrmsitik
Dip Well
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~
'.~
",
~
Sterilizer
Misc.
. Fixtures
~
Electric Contractor
Use IN ature of Work:
Material
Type
Sanitary Sewer
YStbrm:Sewer.'
.. 'l.,,,,,-,
Water Service
'l~te I O/U/a1:
\; ."'.. ." ,.',
[Jlndustirial ..
DrinkFtn
Wait.St.
Ice Chest
;Exam Sink
$$<yI7Sink
a~n~\s.1tt~:.. .
F Prep'Shik
,'SetvSlilk
':JlI.H-1rea~etrap' .
;;g"tlQi;e.ase :Trap.
. ,
. RiPiZiValve .
:.~Iiamp':Sink
{F.lrlWs(Sil1~, .
.~
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda D.isp
Coff~ Maker
Ice Maker
SiteDraill
RQOfDr:aln .
StiirtdjfRec;
.,' EyeW~sh;Stn
WtrSewer,Mtrs
De4ti.ctMeters
.WftrJ3&ageMtrs
~
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