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Home My WebLink About2008-Plumbing (water heater)0 CITY OF OSHKOSH OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 214 PROSPECT AVE Owner MARY JOAN MACGREGOR Contractor HOMEOWNER Category 411 - Residential -Water Heaters Bathtub Shower Water Softner Wait. St. Shamp Sink Whirlpool Floor Drain Local Waste _ Ice Chest Flr/Wst Sink Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin Toilet Disposal Bidet Sculry Sink Wash Ftn Res. Sink Dishwasher Beer Tap Hand Sink Urinal Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec Water Heater 1 Classrm Sink Sterilizer Surgeons Sink Ice Maker Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain Roof Drain Ejector /Grind Drink Ftn Sery Sink Soda Disp Misc. Fixtures Use /Nature Replace gas water heater. of Work Size Material Type # Conn. Type Storm Water Valuation $450.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided Issued By No 128564 Create Date 01/23/2008 Plan Coffee Maker Int GreaseTrap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Parcel Id # 1008490000 Date 01/23/2008 The undersigned, in applying for a plumbing permit to install plumbing in a single family home owned and occupied as the principle residence of the undersigned, hereby acknowledges, per Wisconsin State Statutes, ss 145.06, that other individuals will not be employed to assist with the work described by this permit. If an individual will be employed to install plumbing the work involved must be covered by a permit issued to a properly licensed Master Plumber. In the perforrbagcw9i1this work, 4grpe to14(forrrh}all vork pursuant to rules governing the described construction. Signature Address 214 PROSPECT A Date WI 54901 3727 Telephone Number 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. 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. Citypf Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903 -1130 Phone: (920) 236 -5050 O�I II \O�I I Fax: (920) 236 -5084 ON THE WATER Plumbing Permit Application 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 If you are a contractor participatiniz in the Permit Fee Account System and have adequate funds, check here if you want this processed through your account ** Advisory - For applicable projects, an Electrical Installation Verification (EM form, signed by the Electrical Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted with the permit application. Applications submitted without an EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. /j� t Job Address "1 Fla , 'Value (Including labor and materials) V ' —150 Date 3 CJ Owner tU� Contractor U WTL&-' Single Family ❑Dup x ❑Multi- Family ❑Rental ❑Commercial ❑Industrial Number of Fixtures: Bathtub Disposal Drink Ftn Whirlpool Dishwasher Wait. St. Lavatory Sump Pump Ice Chest Toilet Ejector /Grind Exam Sink Res. Sink Water Soffner Sculry Sink Bar Sink Local Waste Hand Sink ater Heater Clothes Wshr F Prep Sink Gas 0 Elect ,'-7 PwrVnt Bidet Sery Sink Shower Beer Tap Int Grease Trap Floor Drain Classrm Sink Ext Grease Trap Lndry Tray Surgeons Sink R.P.Z. Valve Lab Sink Breakrm Sink Shamp Sink Plaster Sink Dip Well Flr/Wst Sink Sterilizer Hose Bibs Misc. Fixtures Electric Contractor (for projects not requiring an EIV Form) _ Use / Nature of Work Catch Basin Wash Fm Urinal Gar Drain Soda Disp Coffee Maker Comm. Ice Maker Site Drain Roof Drain Standp Rec Eye Wash Stn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service 07/07