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0130638-Plumbing (water heater)
OSHKOSH ON THE WATER Job Address 1856 DOEMEL ST CITY OF OSHKOSH No 130638 PLUMBING PERMIT -APPLICATION AND RECORD Owner PAUL F/SHARON R JANTY Create Date 06/17/2008 Contractor BJD CONSTRUCTION LLC Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures UselNature of Work Shower _ Floor Drain Lndry Tray _ Disposal Dishwasher Sump Pump 1 Classrm Sink _ Breakrm Sink EjectorlGrind Category 411 -Residential-Water Heaters Plan Water Softner Local Waste Clothes Wshr Bidet Beer Tap Lab Sink Sterilizer Dip Well Drink Ftn' Wait. St. Ice Chest Exam Sink Sculry Sink Hand Sink Plaster Sink Surgeons Sink F Prep Sink Serv Sink Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Shamp Sink FldWst Sink Catch Basin Wash Ftn Urinal Standp Rec Ice Maker Gar Drain Soda Disp Valuation j~$85~0.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided Issued By -~~~=1J--1~ Date 06/17/2008 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 N954 PEBBLE RIDGE RD GREENVILLE WI 54952 - 8671 Telephone Number (920) 740-1535 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 pertormed within two business days from the time the project is ready. City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 ~ ~~ Fax:(920)236-5084 ', ON THE WATT Plumbing Permit Application JUN 16 2008 DEP R ~ENT 0 I hereby apply for a permit to do and install the following plumbing on the premises herein ~ it'3@6~'tQr1 ~pppform to the Wisconsin State Plumbing Code, in the performance of which all parties hereto ag'1r~1~(~t1~C~sb~s. • 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 $100.00 plus the normal permit fee, which ever is greater. OR L ** Advisory -For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted with the permit application. Applications submitted without an EIV when such is required, will not be processed for PeQrm-it Is uance and will be returned for completion. j~ Job Address ~7 ~ ~~ ~.~'+"- ~. I S~' Value (Including labor an materials) ~v Date ~ /~ Owner ~~ ~~"~~ !' ' Contractor ~ ~ ~©-'~..$~'!' ~- ~- f + d ~ ~ingle Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial Number of Fixtures: Bathtub Disposal Drink Ftn Catch Basin Whirlpool Dishwasher Wait. St. Wash Ftn Lavatory Sump Pump Ice Chest Urinal Toilet Ejector/Grind Exam Sink Gar Drain Res. Sink Water Softner ' Sculry Sink Soda Disp Bar Sink Local Waste Hand Sink Coffee Maker Water Heater ~ Clothes Wshr I, F Prep Sink Comm. Ice Maker ~.ras ^ 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 Breakrm Sink Shamp Sink Wtr Sewer Mtrs Plaster Sink Dip Well Flr/Wst Sink Deduct Meters Sterilizer Hose Bibs _ _ Wtr Usage Mtrs Misc. Fixtures Electric Contractor (for projects not requiring an EIV Form) Use /Nature of Work Size Material Type # Conn. Type Sanitary Sewer ', Storm Sewer II Water Service ~! o~/o~