HomeMy WebLinkAbout0131525-Plumbing (water heater)/~ CITY OF OSHKOSH
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 101 3 W BENT AVE Owner MARK D KAISER
Contractor RAPID SOFT LLC 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
i Exam Sink Catch Basin
Toilet Disposal Bidet '~ Sculry Sink Wash Ftn
Res. Sink Dishwasher Beer Tap I Hand Sink Urinal
Bar Sink Sump Pump Lab Sink I 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
Size,
Sanitary Sewer
Storm Sewer
Water Service
No 131525
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
Parcel Id #
1207960000
Valuation $600.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
Issued By („~ Date 07/14/2008
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature ~, Date
Agent/Owner
Address N1284 CRANDON CT GREENVILLE WI 54942 - 9750 Telephone Number 757-6130
To schedule inspections please call the Inspection Request line at 238-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not pertormed within two business days from the time the project is ready.
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920)236-5084
Plumbing Permit Application
O1HKOIH
pN THE \NATFR
I hereby apply for a permit to do and install the following plttmbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in thee. performance of which alI parties.hereto agree to and are bound by said statutes.
• Application(s) and fee(s) can be brought to City Hali, Roam 20S or mailed to Inspection Services, PO Box 11.2$,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
Job Address~a /~~~~~~~- ~¢~ Value (including labor and materials) U '~~' -, ~C) Date '
Owner ~~`~~.% f.-~- ' Contractor ~ ; ~~~~~- L- ~--
~$ingle Family QDuplex ^Multi-Family Rental [Commercial Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oiler. Shamp Sink
Whirlpool Disposal ~ Dip Well Flr/Wst Sink
Lavatory Dishwasher j ' Drink Ftn Catch Basin
Toilet Sump Pump ~, Wait. St. Wash Ftn
Res. Sink Ejector/Grind Ice Chest Urinal
Bar Sink Water Softner ~ Exam Sink Gar Drain
Water Heater
_.L
Local Waste ~ _
Sculry Sink r=
-*,fi~ta
bias ~ Elect ~ PwrVnt
((
Clothes Wshr ~
Hand Sink ~' ~'
~
(rto~eM~er
Shower Bidet _ F Prep Sink lee Maker
Floor Drain ~
4
2008
Beer Tap I Serv Sink . Site Drain
Lndry Tray ii
ClassrmSink
IntGreaseTrap •~ _° ~~ EV~~,-rti f~ a`t;.
Roof Drain
Lab Sink Surgeons Sink ~i Ext Grease TrapL~n'i~~~~'~' ~ctr{ .~ ~ l~~p Rec
Plaster Sink BreakrmSink ~ INSPtCII~~f ~~~ ~'iwif =, sz3i~)1m
Sterilizer i
Electric Contractor ~ OR ^Electric Installation Verification form attached
(!f Replacement)
Use /Nature of Work l~z ~G-~ cam.) ~~-~ ~..-fie..
Size Material Type # Conn. Type
Sanitary Sewer
~02.5."od
Storm Sewer