HomeMy WebLinkAbout0131510-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 1715 MICHIGAN ST
Contractor M P KELLY
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
CITY OF OSHKOSH No 131510
PLUMBING PERMIT -APPLICATION AND RECORD
Owner DAWN R WAGNER Create Date 07/14/2008
Category 411 -Residential-Water Heaters Plan
Shower Water Softner Wait. St. _ Shamp Sink
_ _ Floor Drain Local Waste Ice Chest Flr/Wst 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
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
Coffee Maker
int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Date 07/14/2008
Agent/Owner
Address 665 N MAIN ST OSHKOSH WI 54901 - 4431 Telephone Number 231-1750
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 performed within two business days from the time the project is ready.
,__$791.00 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
a
;~
Plumbing ~errn~f AppliC~tion '~
j
I hereby apply for a permit to do and install the fallowing pitunbing on he,premises:hereinafter described, the work to conform to-the
Wisconsin State Plumbing Code, in the performance of which ail arties hereto
p . agreeao and are :bound by said statutes.
• .Application(s) and fee(s) can be brought.to City Hall, Room 205 or mailedto'Inspection Services, PO Box 1;128,
Oshkosh WI .54903-1.128. _ Commencing work without permit(s) will result in :fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR ~`,,
l ou are a contr clot: urtici atin in he Per it~,Fee.Account S ste .and-.have ade uate: ands ch ck h re
i ou want this rocessed t ou h our accou t
Job Address ~ ~~~ /~ ~/ ,, (, //~
~allle (Including labor and materials) ~ ~~~ O ~/ Date.
Owner ~~ ~~~~ Conntractor
ingle:Fa>Inily ^Duplex ^Myl>ii-Family ^Rental ^Co ercial , ^Indast~l
Number of Fixtures:
Bathtub Disposal ' Drink Fm Catch Basin
Whirlpool :Dishwasher Wait. St. Wash Ffi ,
.Lavatory Sump Aump dce:Chest
Urinal.
Toilet Ejector/Grind ~ Eicam Sink
. .Gar Drain
Res. Sink Water Sooner S~ulry Sink Soda pisp
Bar Sin T Local. Waste Han~5in1~ Coffee-Maker
Wa Heater 1 Clothes Wshr F P. rep Sink Ice Maker
Gas ^ Elect ^ RwrVr-t Bidet
S'erv Sink Site Drain
Shower Beer Ta
p Int~ireaseTrap Roof Drain
Floor Drain Classrm Sink
Ft~Grease,'frap Standp Rec
d
Ln T
rY ~Y
SUrgeans Stnk IZ:P:Z. Valve . Eye Wash Sm-
Lab Sink Breakrm Sink
$hamp Sink Wtr Sewer Mtrs
Plaster Sink Di Well
p Elr/Wst Sink
sterilizer ., ~ DZduct Mgters
Misc. Wtx Usage Mfrs
Fixtura
Electric Contractor ' OR ^~lectric Installation Verification ,fo~rtn attaEhed
(If Replacement) .
Use./Nature of Work
Siz Material.- TYl?e ~ Conn:: Typs ,
Sanitary Sewer
. ;Storm.Sewer ,, '~
.
Water,;Service .
II 4/05
I