The URL can be used to link to this page

Home My WebLink About0131494-Plumbing (water heater)/~"~ ~,, CITY OF OSHKOSH OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1863 DOTY ST ' Owner MARGARET GENISIO Contractor BARTELT PLUMBING j Category 411 -Residential-Water Heaters Bathtub Shower Water Softner Wait. St. Shamp Sink Whirlpool Floor Drain Local Waste Ice Chest FIrIWst Sink Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin Toilet Disposal Bidet ~ Sculry Sink Wash Ftn Res. Sink Dishwasher Beer Tap ', Hand Sink Urinal Bar Sink Sump Pump Lab Sink ~, Plaster Sink Standp Rec Water Heater 1 Classrm 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 FR /Replace gas water heater of Work No 131494 Create Date 07/14/2008 Plan Coffee Maker Int Grease Trap _ Ext Grease Trap RPZ Valve Eye Wash State Wtr Sewer Mtrs _ _ Deduct Meters Wtr Usage Mtrs Size ' Material Type # Conn. Type Sanitary Sewer i Stone Sewer I i it Water Service i I I Valuation $700.00 Plan Approval Issued By Parcel Id # 1401740000 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 p rmit application within an easement, the City strongly urges the permit applicant to contact the easement holde. s) , d to secure a~,necessary approvals before starting such activity. Signature ; ~ ~~C,ri~~/ Date ` Agent/Owner Address 1420 FAIRFAX ST Oshkosh WI 54904 - 0000 Telephone Number 233-1670 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. $0.00 $25.00 ^ Permit Voided Permit Fees City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 01HKO1H 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 I~vou are a contractor participating in the Permit Fee Account System and have adequate funds check here if you want this processed through your account I-I ** Advisory -For applicable projects, an Electrical Installation Verification (EIS 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 EN when such is required, will not be processed for Perm//it Issuanc//e and will be returned for completion. ,, // n Job Address ~~b ~ ~ 8rrx/ ~~, Value (Including Tabor and materials) Date ~ ~7` Q r Owner ' Contractor U / Single Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial Number of Fixtures: Bathtub Disposal ', Drink Ftn Catch Basin Whirlpool Dishwasher ', Wait. St. Wash Ftn Lavatory Sump Pump Ice Chest Urinal Toilet Ejector/Grind 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 ^ Elect ^ PwrVnt ' Bidet , Serv Sink Site Drain Shower Beer Tap I Int Grease Trap Roof Drain Floor Drain Classrrn Sink ', Ext Grease Trap Standp Rec Lndry Tray Surgeons Sink R.P.Z. Valve Eye Wash Stn Lab Sink Breakrm Sink ' Shamp Sink Wtr Sewer Mtrs Plaster Sink Dip Well Flr/Wst Sink Deduct Meters Sterilizer Hose Bibs Wtr Usage Mtrs Misc. Fixtures Electric Contractor (for projects not requiring an EIV Form) Use /Nature of Work Size Material Type # Conn. Type Sanitary Sewer ', Storm Sewer ', Water Service I o~/o~