HomeMy WebLinkAbout0131498-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 1535 DOEMEL ST
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Contractor BLAU PLUMBING, INC. ! Category 411 -Residential-Water Heaters
Bathtub Shower Water Softner Wait. St. Shamp Sink
Whirlpool Floor Drain Local Waste Ice Chest FIr/V11st Sink
Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin
Toilet Disposal Bidet ~! Sculry Sink Wash Ftn
Res. Sink Dishwasher BeerTapl Hand Sink Urinal
Bar Sink _ Sump Pump Lab Sink', Plaster Sink Standp Rec
Water Heater 1 Ciassrm Sink Sterilizer', Surgeons Sink Ice Maker
Site Drain Breakrm Sink Dip Well ' F Prep Sink Gar Drain
Roof Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp
Misc.
Fixtures
Use/Nature
of Work
Size., Material Type # Conn. Type
Sanitary Sewer
i
Storm Sewer
Water Service I'
~~
it
Owner MOLLY H MOORE
Parcel Id #
1514140000
Valuation $1,686.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
Issued By ~ Date 07/14/2008
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 12221 W FAIRVIEW AVE. MILWAUKEE WI 53226 - 3849 Telephone Number 1-414-258-4040
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.
No 131498
Create Date 07/11/2008
Plan
Coffee Maker __
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
__
Wtr Sewer Mtrs
-.
Deduct Meters
__ ___
Wtr Usage Mtrs
FR /Replace gas water heater. NOTE: Owner listed as Kelly Shows.
'i
~ ZZ~~~'~
City of Oshkosh ', ~~ ZZ 1 J
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050 u~/ u
Fax: (920) 236-5084 ' O~I II\O~I I
~~, Owv THE LVATFR
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 54903-1 1 28. Commencing work without permit(s) wilt result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor narticinatine in the Permit Fee Account Svstem and have adequate funds, check here
if you leant this processed throutrh your account
Job Address `/~~ `iCl VN t 1 ~ Valne ([ncluding labor and materials ~ p ~~ ~ Date
Owner ~, ~ Contractor T71,O~,~JL 1~1,JU1M.X9't,l'~~
`~ingle Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Gas 0 Elect D PwrVnt
S/hower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Electric Contractor
Use /Nature of Work
Size Material Type # Conn. Type
Sanitary Sewer ',
Storm Sewer i
Water Service
OR ^Electric Installation Verification form attached
(If Replacement)
Disposal ',
i Drink Ftn Catch Basin
Dishwasher ~ Wait. St. Wash Ftn
Sump Pump I Ice Chest Urinal
Ejector/Grind Exam Sink Gar Drain
Water Softner ! Sculry Sink Soda Disp
Local Waste I! Hand Sink Coffee Maker
Clothes Wshr F Pre Ice Maker
Bidet ~ Serv n in
Beer Tap I Int Grease Trap Roof Drain
JUL~r2008
Classrm Sink Ext Grease Trap
Standp Rec
Surgeons Sink li R.P.Z. Valve ®EP~n~ v~- (JF Eye Wash Stn
Breakrm Sink ' Shamp Si~OMMUP~ITY~IoVELC)I~NlEiLi3tr Sewer Mtrs
Dip Well I Flr/wslpli~(~ECTIOf1 ~~~~/I~ ~~' l~~`L/~~~t Meters
Hose Bibs it Wtr Usage Mtrs
11/OS