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HomeMy WebLinkAbout0132753-Plumbing (2 water heaters)/~ CITY OF OSHKOSH OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 120 122 STONEY BEACH RD Owner JACK L DARLAND Contractor O'NEILL ENTERPRISES INC Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work No 132753 Create Date 09/05/2008 Category 411 -Residential-Water Heaters Plan _ Shower Water Softner Wait. St. Shamp Sink _ Floor Drain Local Waste Ice Chest FIr/Wst 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 2 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 $1,200.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided Issued By (~~/yy(/O Date 09/09/2008 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Whiie 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 522 W 6TH AVE Agent/Owner OSHKOSH WI 54902 - 5916 Telephone Number 920-230-2007 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 performed within two business days from the time the project is ready. 09/04/2008 15:28 FAX 19202302008 Ciiy of Oshkosh Inspection Services Division P O B 1130 ox Oshkosh, WI 54903-1130 Phone: (920)236-5050 Pax: (920)236-5084 ONEILL ENTERPRISES Plumbing Permit Application tool/ool I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the Wiswnsin 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 ** Advisory -For applicable projects, an Electrical Installation Verification (E1~ form, signed by the Electrical Contractor or Homeowner (for installations allowed to be performed by the homeowner) mast be submitted with the permit application. Applications submitted without an EIV when such is required, wit not be processed for Perml~it Issuance and will be returned for completion. /~ / aU ~ q ~/ o Job Address v Value (Including labor and materials] ~" - Date ! / ~8 Owner ~ Contractor Q,L. ^Single Fam Duplex ^Multi-Family Rental []Commerc al ^Indastrial Number of Fixtures: Bathhrb Disposal Whirlpool Dishwasher Lavatory Sump Pump Toilet Ejector/Grind Res. Sink Water Sottlrer Bar Sink Local Waste r Heater ~ Clothes Wshr Gras ^ Elect ^ PwrVnt Bidet Shower Beer Tap Floor Drairr Classrm Sink Lndry Tray Surgeons Sink Lab Sink Breakrm Sink Plaster Smk Dip Well Sterilizer Hose Bibs Misc. Fbctures Drink Ftn Wait St Ice Chest E7ram Sink Sculry Sink Hand Sink F Prep $ink Serv Sink Int Grease Trap Ext Grease Trap RP.Z. Valve Shame Sink Flr/Wst Sink Electric Contractor (for projects not requiring an EIV Form) Use /Nature of Work Size Material Type Sanitary Sewer ; X02 U O Storm Sewer Water Service Catch Basin Wash Ftn Urinal Gar Drain Soda Disp Coffee Maker Comm. Ice Maker Site Drain Roof Drain Standp Rec Eye Wash Stn Wtr Sewer Mfrs Deduct Meters W>r Usage Mtrs ~v,~~ ~.~ # Conn. Type ~~ 07/07