HomeMy WebLinkAbout0131506-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 1730 S WESTHAVEN DR
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
PLUMBING PERMIT -APPLICATION AND RECORD
Owner GAIL P KEENEY/LINDA L ZABROWSKI
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
Classrm Sink Sterilizer Surgeons Sink Ice Maker
Breakrm Sink Dip Well F Prep Sink Gar Drain
Ejector/Grind Drink Ftn Serv Sink Soda Disp
1
No 131506
Create Date 07/14/2008
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
In the performance of this work, 1 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 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.
$831.00 Plan Approval ' $0.00 Permit Fees $25.00 ^ Permit Voided
1 ~ Date 07/14/2008
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: {920) 236-5050
Fax: (920) 236-5084
Plumbing Permit :App#ication
~1
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HKO H
ON THE WATER
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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 Agee to and are bound by said statutes.
• Application(s) and fee(s) can be brought #o 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.
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if you want this processed through your account ~ ~~
Job Address /~~a~ y~!~7~' Ue (Includinglaborend materials) ' V ~/ Date ~ ~ (I
Own r G(iK~ Ga/~1~~-u~'~K.t Contractor
Single Family ODuplex OMulti-Family ~Rentai' [^Co ercal ^Industral
. .~
__ _ _ ~~.
Number of Fixtures: ',
Bathtub Disposal ~ Drink Ftn Catch Basin
Whirlpool Dishwasher I Wait. St. Wash Fm
lavatory Sump Pump Ice Chest Urinal
Toilet Ejector/Grind ', Exam Sink Gar Drain
Res. Sink Water Sooner I Sculry Sink Soda Disp
Baz Sink Local Waste Hand Sirik Coffee Maker !~
~Wa~eate~r ~ Clothes Wshr F Prep Sink Ice Maker x
VQGas G Elect O FwrVnt $idet ~ ServSink Site Drain '~
Shower Beer. Tap IntGrease Trap .Roof Drain
Floor Drain Classrm Sink ~ ' Ext Grease Trap Standp Rec
Lndry Tray Surgeons Sink R.P.Z. Valve $ye Wash Stn
Lab Sink Breakrm Sink Shame Sink Wtr Sewer Mtrs
Plaster Sink pip sell Flr/Wst-Sink
Sterilizer ', Deduct Meters
Misc. ~~, Wtr Usage Mtrs
Fixtures i
Electric Contractor ! OR ^Electric Installation VeriCcation form attached
/~(If Replacement)
Use /Nature of Wor ~ ~ `- `
Size Material Type # Conn. Type
Sanitary Sewer
Storm,Sewer
.
~ Water Service
4/05