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HomeMy WebLinkAbout0130748-Plumbing (water heater)OSHKOSH ON THE WATER Job Address 218 W 17TH AVF CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Owner TODD J/MARGARET A RADDATZ Contractor KASCADE PLUMBING L.L.C. Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Valuation Issued By Category 411 -Residential-Water Heaters _ Shower Water Softner Wait. St. Shamp Sink _ Floor Drain Local Waste Ice Chest FIrIVVst 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 Date 06/19/2008 In the pertormance 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 Agent/Owner Address 7265 COUNTY RD D OMRO T.. w{.w.1..1.. .a:___ Date WI 54963 - 9333 Telephone Number (920) 582-7304 _ _ __..___._ ..._,.,,,,,.,,,,~ ~+waac a.all ~IIC IIISNescuvn Request une at zst;-57zs 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. No 130748 Create Date 06/19/2008 Plan Coffee Maker int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs ,, $800.04-. Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 O~KO1H 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 Darticipatin~ in the Permit Fee Account Svstem and have adequate funds check here rf you want this processed through your account n ** Advisory -For applicable projects, an Electrical Installation Verification (Elm 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 Issuan/ceJand will be returned for completion. ,r~ Job Address ~r~ U1/ ~7 ~ Value(Includinglaborandmaterials~~t/~ OQ Date - '~ Owner ~arua ~ .~7' ~a ~~//-t`.z Contractor Sc ~ a~,~ ~l ,Single Family ^Duplex ^Multi-Family ^Rental ^Commerci ^Industrial Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Jc ,EY Gas ~ Elect ~~ PwrVnt Shower Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Electric Contractor (for Use /Nature of Work Disposal Drink Ftn Catch Basin Dishwasher Wait. St. Wash Ftn Sump Pump Ice Chest Urinal Ejector/Grind Exam Sink Gar Drain Water SoBner Sculry Sink Soda Disp Local Waste Hand Sink Coffee Maker Clothes Wshr F Prep Sink Comm. Ice Maker Bidet Serv Sink Site Drain Beer Tap Int Grease Trap Roof Drain Classrm Sink Ext Grease Trap Standp Rec Surgeons Sink R.P.Z. Valve Eye Wash Stn Breakrm Sink Shamp Sink Wtr Sewer Mtrs Dip Well Flr/Wst Sink Deduct Meters Hose Bibs Wtr Usage Mtrs Aojects not requiring an EIV Form) Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service o~/o~