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Home My WebLink About0132466-Plumbing (water heater)CITY OF OSHKOSH OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1130 MOUNT VERNON ST Owner PAUL J NEBEL JR No 132466 Create Date 08/25/2008 Contractor M P KELLY Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Category 411 -Residential-Water Heaters Plan _ 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 'arcelld # 1003100000 Valuation Issued By Date 08/26/2008 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 ~ v scneauie 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. t__$80~1.00 Plan Approval $0.00 Permit Fees __ $25.00 ^ Permit Voided 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 ~LHKOlH ON THE WATER 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 broughC to City Hall,.Room 205 or mailedto Inspection Services, PO Box 1128, Oshkosh WI 54903-1 I28. Commencing work without permit(s) will result in fees being doubled-or $100.00 plus the normal permit fee, which ever is greater. OR ,~- V i ou want this rocessed throu h our account ~~A~ ~~~ ~~ ~ Job Address ~~ ~'1~/Y~ Value (Inaudinglaborandmatenals) Date S Q~ Owner ~ Contractor Ingle Family ^Duplex ^Multi-Family []Rental ^Co ercial Industrial , u,: 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 ,Sculry Sink Soda Disp Bar Sink Local Waste Hand`Sink' Coffee Maker Wa Heater ~ Clothes Wshr F Prtp Sink Ice Maker i 0 Elect 0 PwrVnt Bidet Serv Sink Site Drain Shower .Beer Tap [nt.Grease Trap Roof Drain Floor Drain Classtan Sink Ezt Grease Trap Standp Rec Lndry Tray Surgeons Sink R.P.Z. Valve Eyt Wash Stn Lab Sink Breakrm Sink Shamp Sink Wti Sewer Mtrs Plaster Sink Dip Well Flr/Wst-Sink Sterilizer Deduct Meters Misc. Wtr Usage Mtrs Fixtures Electric Contractor OR DElectric Installation Verification form attached (If eplacement) Use /Nature of Work ` Size Material Type # Conn. Type Sanitary Sewer ~ j ;Storm;Sewer ~ ~. Water Service • 4/05