HomeMy WebLinkAbout0132564-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 1330 W 5TH AVE
Contractor COMPLETE PLUMBING INC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
UselNature
of Work
Valuation
Issued By
Owner DANIEL S/JENNIFER M POLIAK
Category 410 -Residential-Interior
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 1 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
No 132564
Create Date 08/28/2008
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Date 08/28/2008
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 1197 RACINE ST
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Agent/Owner
MENASHA
WI 54952 - 1735 Telephone Number 920-720-5390
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.
$93.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
Steinike, Sandra
From: admin@ci.oshkosh.wi.us
Sent: Wednesday, August 27, 2008 10:27 AM
To: Inspections, Inspections
Subject: Data posted to form 1 of
http://www.ci.oshkosh.wi. us/Community_Development/Inspections/Perm it_App_Plumbing_
2OO2.htm
Permit_Fee_System: yes
Job_Address: 1330 W 5th Ave
Value: 93
Date: 08/26/2008
Owner: Dan Poliak
Contractor: Complete Plumbing Inc.
House_Type
Single Family: X
_
House_Type_Duplex:
House
Type
Multi
Family:
_
_
_
House_Type_Rental:
House
Type
Commercial:
_
_
House_Type_Industrial:
Bathtub:
Disposal:
Drink
Ftn:
_
Catch
Basin:
_
Whirlpool:
Dishwasher: 1
Wait_St:
Wash
Ftn:
_
Lavatory:
Sump_Pump:
Ice
Chest:
_
Urinal:
Toilet:
Ejector
Grind:
_
Exam
Sink:
_
Gar Drain:
Residential
Sink:
_
Water Softener:
Sculry Sink:
Soda
Disp:
_
Bar
Sink:
_
Local
Waste:
_
Hand
Sink:
_
Coffee_Maker:
Water
Heaters:
_
Clothes
Wshr:
_
F_Prep_Sink:
Ice
Maker:
_
Water_Heater_Type: PwrVnt
Shower:
Bidet:
Serv
Sink:
_
Site
Drain:
_
Floor
Drain:
_
Beer_Tap:
Int_Grease
Trap:
_
Roof
Drain
_
Laundry_Tray:
Classrm
Sink:
_
Ext_Grease_Trap:
Standp
Rec:
_
Lab Sink:
Surgeons_Sink:
RPZ_Valve:
Eye_Wash_Stn:
Plaster sink:
Breakrm Sink:
Shamp_Sink:
Wtr_Sewer_Mtrs:
Sterilizer:
Dip_Well:
Flr_Wst_Sink:
Deduct Meters:
Hose_Bibs:
Wtr Usage Mtrs:
Misc_Fixtures:
Misc_Fixtures_Text:
Electrical_Contractor:
Use or_Nature_of Work:
Sanitary_Sewer_Size:
Sanitary_Sewer_Material:
Sanitary_Sewer_Type:
Number_Sanitary_Sewer:
Sanitary_Sewer_connector_Type:
Storm_Sewer_Size:
Storm_Sewer_Material:
Storm_Sewer_Type:
Number_Of_Storm_Sewer:
Storm_Sewer Connector_Type:
Water Service Size:
Water Service_Material:
Water_Service_Type:
Number_of_Water_Service:
Water_Service_Connector_Type:
B1: Submit