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HomeMy WebLinkAbout0130666-Plumbing (water heater)/~"~ ~', CITY OF OSHKOSH OSHKOSH PLUMBING PE RMIT -APPLICATION AND RECORD ON THE WATER Job Address 446 W 6TH AVE Owner ALTA G PUHL Contractor O'NEI LL ENTERPRISES IN C I Category 411 -Residential-Water Heaters Bathtub Shower Water Softner Wait. St. Shamp Sink Whirlpool Floor Drain Local Waste Ice Chest Flr/1Nst Sink Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin Toilet Disposal Bidet I Sculry Sink Wash Ftn Res. Sink Dishwasher Beer Tap Hand Sink Urinal Bar Sink Sump Pump Water Heater 1 Classrm Sink Sterilizer ! Surgeons Sink Ice Maker Site Drain Roof Drain Ejector/Grind Drink Ftn ~~~ Serv Sink Soda Disp Misc. Fixtures Use/Nature SFR /REPLACE GAS WATER HEATER *'debt acct of Work Sanitary Sewer Storm Sewer Water Service $600.00 Plan Approval Parcel Id # 0905360000 Valuation Issued By Material Type # Conn. Permit Fees $25.00 ^ Permit Voided No 130666 Create Date 06/18/2008 Plan Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Deduct Meters Date 06/18/2008 In the performance of this work, I agree to pertorm 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 I Date Agent/Owner Address 522 W 6TH AVE OSHKOSH WI 54902 - 5916 Telephone Number 920-230-2007 i o scneauie ~nspectlons 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. II 06/17/2008 13:33 FAX 19202302008 City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 ONEILL ENTERPRISES f~J001/003 Plumbing Permit Application I hereby apply for a permit to do and install the following plumbing on the premises hereinaRer described, the work to conform to the Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and ate 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 Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted with the pem><it application. Applications submitted without an EIV when sack is required, will not be processed for Permit Issuance and will be retanted for completion. Job Address `7 ~ ~!I (,~ ~~7 ~'~ , Value (Including labor and materials) r fgJ Date /-•1 ~`I~~f,~~ Contractor ~ ~ • ~ ~`)~~/1~'LI,Ci~II , tl~/1(, Snmgle Family ^Duplea ^Multi-Family ^Rental ^Commerciai ^Indastrial Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Disposal Dishwasher Sump Pump Ejector/Grind Water 5oftner Local Waste Clothes Wshr Bidet Beer Tap Classtm Sink Surgeons Sink Breakrm Sink Dip Well Hose Bibs Drink Ftn Wait. St. Ice Chest Exam Sink 5culry Sink Hand Sink F Prep Sink Serv Sink Int Grease Trap Ext Grease Trap R.P.Z. Valve Shamp Sick Flr/Wst Sink Catch Basin Wash Ftn Urinal Gar Drain Soda I;hsp Coffce Maker Comm. Ice Maker Site Drain Roof Drain 5tsndp Rec Eye Wash Stn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtts Water Heater ~_ Gas ^ Elect ^ PwrVnt Shower Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Electric Contractor (for projects not req Use /Nature of Work ~' ~L Size Mat, Sanitary Sewer Storm Sewer Water Service an EIV Form) Type # Conn. Type o~/o-/