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0128341-Plumbing (water heater)
OSHKOSH ON THE WATER Job Address 304 SCOTT AVE r CITY OF OSHKOSH No 128341 PLUMBING PERMIT -APPLICATION AND RECORD Owner NICOLET APARTMENTS II LLC Create Date 01/04/2008 Category 411 -Residential-Water Heaters Plan Contractor C SWEETING PLUMBING LLC Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work _ Shower Water Softner Wait. St. Shamp Sink Floor Drain Local Waste Ice Chest FIr/Wst 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 1 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 lJsage Mtrs Valuation $600.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided Issued By ~ ~ Date 01/04/2008 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 1583 COUNTRY MEADOW CT OSHKOSH WI 54904 - 9316 Telephone Number 920-410-4017 _. To schedule inspections please call the Inspection Reauest line at 236-128 netina the Adrlrpcc Pprmi4 w~.,,hor T.,.,e .,f 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 P'O Box 1 I30 Oshkosh, WI 54903-1130 Phone: (920)236-5050 Fax: (920) 236-5084 Plumbing Permit Application ~~~~o C~.IHKOlH 20°~ ON THE WATER I hereby apply for a permit 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 ** Advisory -For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical Cantr~ctor or Homeowner (for installauoris~allowe~to be `performed by the homeowner} mast be submitted- with the permit application. Applications submitted without an EN when such is required, will not be processed for Pernnit Issuance and will be returned for completion. Job Address ~~ `~ -~ ~' ~~ Value (Including labor and materials) ~+ ~ Date Owner /~~ ~ ~ ©fy''t" .l ~ ~~s~~~~ ~'~ Contractor ~' -~ ~.- ~ °~ °f',`~~- ~/`~ri~ ~ ~- L ~ ^Single Family ©Dupleg ^Multi-Family Rental ^Commereial Industrial Number of.Fixtures: Bathtub Disposal- Drink Ftn _ Catch Basin Whirlpool Dishwasher _. _. Wait. St. Wash Ftn Lavatory Sump Pump Ice Chest Urinal Toilet EjectorlGrind Exam Sink Gar Drain Res. Sink Water Sorter Sculry Sink Soda Disp Bar Sink Local Waste ~ Hand Sink Coffee Halter Water Heater ~ . Clothes Wshr F Prep Sink Comm. Ice Maker Gas D Elect ~ PwrVnt Bidet Serv Sink Site Drain Shower Beer Tap Int Grease Trap Roof Drain Floor Drain Classrm Sink Ext Grease Trap Standp Rec Lndry Tray Surgeons Sink R.P.Z. Valve Eye Wash Stn Lab Sink ~ g Sink Shamp Sink Wtr Sewer Mtrs Plaster Sink Dip Well FIrlWst Sink Deduct Meters Sterilizer Hose Bibs Wtr Usage Mfrs Misc. Fixtures Electric Contractor (for projects not requiring an EIV Form) ~' Use /Nature of Work ~ (`~ /~~~- t,+~~°r~-~' ~~~i" ~ ~~'~"~ Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service o~/o~