HomeMy WebLinkAbout2008-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 1128 WASHINGTON AVE
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner JOHN M/EVELYN J MINNIEAR
Category 410 -Residential-Interior
No 132468
Create Date 08/25/2008
Plan
Contractor M P KELLY
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
UselNature
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1100390000
Valuation $898.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
Issued Bye- Date 08/26/2008
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 Date
Address 665 N MAIN ST
AgenUOwner
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 pertormed within two business days from the time the project is ready.
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
EjectorlGrind 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
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
~~
HKO H
ON THE WATER
I hereby apply for a permit to do and install the following pltunbing on the premises hereinafter described, the work to conform to the
Wisconsin State Pltunbing 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 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 r
.L ~» •t. a. •.b a uyaawn rc u uc~~us-c iun u,~...Gnca,n nci c
if you want this processed through. your account (~ '~
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Job Address ~ ® Value (Including labor and materials) ~ ~(1 ~ d`~ Date ~ °2~ '0
_~ _
Owner ~/ d'~-r~-.1Y1 ~r-~` ~i /21~ebtractor
ogle FamilyDuplex ^Multi-Family ^Rental ^Co ercial ^Industrial
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Wa eater
LQ Gas ^ Elect 0 PwrVnt
Shower
Floor Drain
Lndry Tray.
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Electric Contractor
Disposal Drink Ftn Catch Basin
Dishwasher Wait. St. Wash Ftn
Sump Pump Ice Chest Urinal
Ejector/Grind .Exam Sink Gar Drain
Water Softner Sculry Sink Soda Disp
Local Waste Hand Sirik Coffee Maker
Clothes Wshr F Prep Sink Icc Maker `:'.
Bidet Serv Sink Site Drain
Beer Tap Int Grease Trap Roof Drain
Classrm Sink Ett Grease Trap Standp Rec
Surgeons Sink R.P.Z. Valve Eye Wash Stn
Breakrm Sink Shamp Sink Wtr Sewer Mtrs
Dip Well Elr/WstSink Deduct Meters
Wtr Usage Mtrs ~
~Tr~
[]Electric Installation Verification form attached
(If Replacement)
Use /Nature of Work (/ I
Size
Sanitary Sewer
I :Stolen Sewer
~ Water Service
Material Type # Conn. Type
-~">
~ 1
4/05