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Home My WebLink About0130796-Plumbing (water heater)OSHKOSH ON THE WATER Job Address 1127 JEFFERSON ST Contractor COMPLETE PLUMBING we CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Owner STEVEN A/BETH MFI 1 FR 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 Flr/V11st 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 No 130796 Create Date 06/20/2008 Plan Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Date 06/20/2008 In the performance of this work, I agree to pertomt 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 Address 1197 RACINE ST T.. ..L~J..:_ Agent/Owner MENASHA WI 54952 - 1735 Telephone Number 920-720-5390 . _ __ ........... ...~r~......„~ N,~a~~ tea„ r;ne mspecnon reequest une 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 performed within two business days from the time the project is ready. $203.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided ~~~~ City of Oshkosh _,,,\ Inspection Services Division P 0 Box 1130 Oshkosh, WI 54903-[ 130 Phone: (920) 236-5050 Fax: (920) 236-50$4 t~ 11 t~` j7~ Plumbing Permit Application I hereby apply for a permit to do and install the following plumbing on the premistrs hereinafter described, ti~rr work to conform to the Wisconsin State Plumbing Code, ir. the performance of which al l parties hereto agree to and are bound vy said statutes. ~ Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to ]nspection Services, PO Box 1128, Oshkosh Wl 54903-I I28. Commencing work without permits} wilt result in fees being doubled or $100.00 plus the .normal pertttit fee, v~it:h ever is greater. OR ** Advisory -For applicable projects, an EIectrical Installation Verification (EN} form, signed by the Electrcai Contractor or Homeowner (for installations allowed to be performed by the homeowner} must be submitted with the permit application. Applications submitted without an EN"when such is required, wiI1 not be processed for Permit Issuance and will be returned for completion. Job Address ~ ~ ~~ ~e`~,~~.f'Si~t~ ~} Value (loctuding iabvr and materiatsi. c?~~„~~ ~f7 Date„~,~1 ~~~ Owner 5tEY2n M~~,(' Contractor ~ ~} ~ ~ ~ingle Family ^Duplea ^Multi-Famil y [].Rental [iCornmercial C1lndustrial Number of Fixtures: BailUub Disposal Drink Ftn Whirlpool __ Distawasher Catch Basin Lavatory ~~ Sump Pump Wait. St. Wash Ftn Toilet ice Chest , C,nnal Ejector/Grind _ Exam Sink Gar Drain Res, Sink Water Softner _ Sculry Sink ~~~ Bar Sink Local Waste Hand Sink Soda Disp ~~ Wator beater ___~_ Clothes Wshr Catfec Maker _ Gas iJ Elect 0 PwrVnt F Prep Sink Comm. Jce Maker Shower Bidet Serv Sink _~__ Site Drain Floor Drain Berr'1'ap _,~^ Int Grease Trap _.^ ('vof Drain Lnd Tra ry Y Classrm Sink ------ Ext Grease Trap _ Standp Ree Lab Sink Surgeons Sink R.P.L. Valve ~~-'-~ _. Lye Wash Stn Plaster Sink Breaktm Sink Sharnp Sink r~ Wtr Sewer Mtrs Sterilizer Dip Well _---- FtrlV/st Sink _~ _ _ _, 17edua Meters Hose Bibs -~~- Misc. V"- 1~'m Usage Mtrs Fixtures Electric Contractor (for p rojects .not requiring an EIV F orm) Use /Nature of Work ~ ~- - - Sanitary Sewer Storm Sewer J~~~ material Type Conn.. Typc: Water Service ~"%,7