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
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