HomeMy WebLinkAbout0131504-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 326 OXFORD AVE
Contractor M P KELLY
CITY OF OSHKOSH No 131504
PLUMBING PERMIT -APPLICATION AND RECORD
Owner JOHN R/GARY E KRUGER Create Date 07/14/2008
Category 411 -Residential-Water Heaters Plan
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
Shower Water Softner Wait. St. Shamp Sink
_ Floor Drain Local Waste Ice Chest Flr/V1/st 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
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
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
Address 665 N MAIN ST
Agent/Owner
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.
_r-. $804.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
\~ ~~ c
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050 HKO H
Fax: (920) 236-5084
ON 7HE WATER
`,
Plumbing Permit App#ication
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 broughti to City Ha11, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work withoutpermit(s) will result in fees being doubled. or $100.00 plus the
normal permit fee, which ever is greater.
OR r
If vou_are._a con_tractor_participatinQ in the Permit ;Fee Account System and have adequate funds-.,.ehcck"~iere
if you want this processed through. your account I 'I ~~
Job Address ~ Value. (Includingiaborandmaterials) ~ ' ~~/ Date
Owner '~ `~ Contractor
Ingle Family ^Duplex (]Multi-FamilyRental ^Co ercial DIndusxral
~~~,
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 seulry Sink Soda Disp
.Bar Sink
~ Local Waste ~ Hand Sink Coffee Maker
Wa Heater Clothes Wshr F Prep Sink Ice Maker
Gas O Elect O PwrVnt Bidet Serv Sink Site Drain
Shower
.Beer Tap
Int Grease Trap i
Roof Drain
~O°r ~1D Classrm Sink Ext Grease Trap Standp Rec
Lndry Tray
Surgeons Sink
R.P.Z. Valve
Eye Wash Stn
Lab Sink Breakrrn Sink Shame Sink Wtr Sewer Mtrs
Plaster Sink Dip Well Elr/WstSink
Sterilizer DEduct Meters
Misc. Wtr Usage Mtrs
.Fixtures
Electric Contractor O []Electric Installation Verification form attached
U
/N
t
f W
k ', If Replacement)
se
a
ure o
or
Size Material. Type # Conn. Type
Sanitary Sewer
Storm:Sewer
Water Service