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Home My WebLink About0130665-Plumbing (water heater)OSHKOSH ON THE WATER Job Address 628 W 6TH AVE CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Owner KENNETH E JORGENSEN Contractor O'NEILL ENTERPRISES INC Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work No 130665 Create Date 06/18/2008 Category 411 -Residential-Water Heaters Plan _ Shower Water Softner Wait. St. Shamp Sink Coffee Maker _ Floor Drain Local Waste Ice Chest FIrIWst Sink Int Grease Trap _ Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap _ Disposal Bidet Sculry Sink Wash Ftn RPZ Valve _ Dishwasher Beer Tap ' Hand Sink Urinal Eye Wash Statn _ Sump Pump Lab Sink ', Plaster Sink Standp Rec Wtr Sewer Mtrs _ 1 Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters _ Breakrm Sink Dip Well ', F Prep Sink Gar Drain __ Wtr Usage Mtrs EiectorlGrind Drink Ftn ' Serv Sink Soda Disn Valuation $600.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided Issued By ~~l ~ ' Date 06/18/2008 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 522 W 6TH AVE OSHKOSH WI 54902 - 5916 Telephone Number 920-230-2007 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. 06/17/2008 13:34 FAX 19202302008 ONEILL ENTERPRISES City of Oshkosh Inspection Services Division ', P O Box 1130 Oshkosh, WI 54903-1130 ~' Phone: (920)236-5050 ', Fax:(920)236-5084 ', Plumbing Permit Application ~ 002/003 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 I-ialI, 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 (E1~ form, signed by the Electrical Contractor or Homeowner (for installations allowed to be performed by the homeowner) most be submitted with the permit application. Applications submitted without an EIV when such is required, will not be processed for Permit Issuance a~ will be retained for rnmpletion. Job Address ~ ~ 1 Value (Including labor and materials) V , ~ Date ~~'" Owner , , Contractor (~ ~~ p,(~ C % i ~~ ,Qf~l! . ~,(~/"~' C, [Single Family ^Duplea alti-Family Mental ^Commercial ^Ladustrial Number of Fiztures: Bathtub Disposal Drink Fht Catch Basin Whirlpool Dishwasher Wait St Wash Ftn Lavatory Sump Fume ', Ice Chest Urinal Toilet Ejector/Cmnd ~I~ Exam Sink Gar Drain Res. Sink Water Softner ~, Sculry Sink Soda Disp Bar Sink Local Waste Hand Sink Coffee Maker Water Heater ~ Clothes Wshr F Prep Sink Comm. Ice Maker Gas C Elect ~ PwrVnt Bidet Serv Sink Site Drain Shower B~ Tap ! Int Grease Trap Roof Drain Floor Drain Classrm Sink ~ Ezt Grease Trap Standp Rec Lndry Tray Surgeons Sitilc ', RP.Z. Valve Eye Wash Stn Lab Sink Breakrm Sink Shatnp Sink Wtr Sewer Mtrs Plaster Sink Dip Well ~ Flr/Wst Sink Deduct Meters Sterilizer Bose Bibs I Wtr Usage Mfrs Misc. ~, Fixtures ~I Electric Contractor (for projects not requiring an EIV Form) Use /Nature of Work Size Material Type # Conn. Type Sanitary Sewer 'i Storm Sewer ~! Water Service i 07/07