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Home My WebLink About0131617-Plumbing (water heater)OSHKOSH ON THE WATER Job Address 3392 HARBOR BAY RD CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Owner TYE M/KIM M OLSON No 131617 Create Date 07/17/2008 Contractor BLAU PLUMBING, INC. Category 411 -Residential-Water Heaters Plan Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures UselNature of Work _ Shower Water Softner Wait. St. Shamp Sink _ Floor Drain Local Waste Ice Chest FIrIWst 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 Valuation $1,781.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided Issued By ~~~,~ Date 07/17/2008 In the pertormance 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 AgenUOwner Address 12221 W FAIRVIEW AVE. MILWAUKEE Date WI 53226 - 3849 Telephone Number 1-414-258-4040 I o scneaule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (i.e. Footing, Service, Finat, 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 ~~ ~Z 2 I~ Inspection Services Division J P O Box 1130 2 l / Q" Oshkosh, WI 54903-1130 ~~ ~2J`I O~ Phone: (920) 236-5050 ~ ~ ~ ~ S`~ ( ~ U L 17 Fax: (920)236-5084 Plumbing Permit Applic~ENIT~(~pEVE?OPMENT IikSPECTION SERVICES C7IViSION I hereby apply for a permit to do and install the following plumbing on the premises eretnafter 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 $100.00 plus the normal permit fee, which ever is greater. OR If you are a contractor DarticipatinQ in the_ Permit Fee Account System and have adequate funds, check here ifyou want this processed through your account ** Advisory -For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted with the permit application. Appli ations submitted without an EIV when such is required, will not be processed for Permit Issuance and vt~ill be returnne~for completion. ' ~C Job Address Value (Including labor and materials) Date Ow r b __ Contractor I(~ 1 ~ Ingle Family ^Duplex ^Multi-Family ^Rental ^Commercial ^In atrial Number of Fixtures: Bathtub Disposal Whirlpool Dishwasher Lavatory Sump Pump Toilet Ejector/Grind', Res. Sink Water Softne~' Baz Sink Local Waste Water Heaters _~ Clothes Wshr, ^ Gas ^eEfect ^ PwrVnt Bidet Shower Beer Tap Floor Drain Classrm Sink' Lndry Tray Surgeons Sinl$ Lab Sink Breakrm Sink'' Plaster Sink Dip Well Sterilizer Hose Bibs Misc. Fixtures Electric Contractor (for projects not a ><ring an EIV Use /Nature of Work ~ ~~ Drink Ftn Catch Basin Wait. St. Wash Ftn Ice Chest Urinal Exam Sink Gaz Drain Sculry Sink Soda Disp Hand Sink Coffee Maker F Prep Sink Comm. Ice Maker Serv Sink Site Drain Int Grease Trap Roof Drain Ext Grease Trap Standp Rec R.P.Z. Valve Eye Wash Stn Shamp Sink Wtr Sewer Mtrs Flr/Wst Sink Deduct Meters Wtr Usage Mfrs ~,~ Size aterial Type # Conn. Type Sanitary Sewer Storm Sewer Water Service ~~ o~/o~ 07/09/2008 21:52 9202737965 K-R ELECTRIC LLC PAGE 01/02 City of Oshkosh pivisiort of I~pection $esviCe9 Z35 Church Avenue p0 $ox 1130 Oshkosh wi 5x903-1130 Office 920-236-1050 TNS R Fu 9Z0-236-SOSQ X (We) E~.ectric Installation Velrificatio~- IV //~QNK ~ ~ /,` /~~ 1~ ~~~/ 1 G/ 1/ V ~O Contractor Name) 0~7/l ,dos 9~~ i~i~ (Address) (City) (State) (Zip Code) have been contracted to perform electric installation work foz ^ (Name of party contracted to) at the following address: ~o~ (Address where work be performed) Tb,e nature of the work consists o£ (Check One oz Describe the Nature of Work) Reco~onection or new circuit for replacement Keating Plant and/or AJC Condenser. Recannection ox new circuit for replacement Electric Water Neater or power vented water heatez. Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles and lightiuag fixtures due to siding / soffit installation. Note: 1~Tew Service Entrance Cables will require a separate pernoit. Recormeetion or new circuit for the replacement of other permanently wired appliances / fiattures. l~Tew circuit for the addition of ,AJC to an individual dwelling unit (house or the individual systems in a duplex or condominium), ixlcludixxg required service electrical outlets. Other . ~od The value of this work is $ I hereby verify this work will be per£ornaed by an employee of this company and further VezifY the reconnection / i~ostallation will be done in compliance with manufacturer and Electric code requirements, igraa o£ Company Officer) (Print Name of Officer) (Date) s~o~