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Home My WebLink About0132804-Plumbing (water heater)OSHKOSH ON THE WATER Job Address 668 W 5TH AVE Contractor FARMERS SUPPLY CO Owner STEVEN UGUDRUN HEMMINGHAUS Category 411 -Residential-Water Heaters No 132804 Create Date 09/11/2008 Plan Bathtub Shower Water Softner Wait. St. Shamp Sink Coffee Maker Whirlpool Floor Drain Local Waste Ice Chest FIr/VNst Sink Int Grease Trap Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap Toilet Disposal Bidet Sculry Sink Wash Ftn RPZ Valve __ _ Res. Sink Dishwasher Beer Tap Hand Sink Urinal Eye Wash Statn Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs Water Heater 1 Classrm Sink Sterilizer Surgeons Sink Ice Maker ___ Deduct Meters _ Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs Roof Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp Misc. Fixtures Use/Nature SFR /Replace gas water heater. of Work I ~~ Sanitary Sewer Storm Sewer Water Service n. Parcel Id # 0603220000 Valuation Issued By CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided Date 09111 /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. c~ Signature ~~ /~~~~^-~~ Date ~////~O Address 34 W 7TH AVE Agent/Owner OSHKOSH WI 54902 - 0000 Telephone Number 235-6970 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. 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 i QIHK0IH 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 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~ou are a contractor partic~atin~ in the Permit Fee Account System and have adequate funds. check here ~you want this processed through amour account n ** 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. Applications submitted without an EN when such is required, will not be processed for Permit Issuance and will be returned for completion. ~ °'' Job Address Cr~9~ Zv .5 7 !~`~^ Value (Including labor and materials) 70r~ Date 9 Owner .5'~r ~~ /~,~s~~i~rs/~i~~ Contractor f'a r~z~s ~~/~.~ ~y ~ Single Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial 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 Water Heater y Clothes Wshr F Prep Sink Comm. Ice Maker _ ~J Gas ~ Elect ~ PwrVnt Bidet Serv Sink Site Drain _ Shower Beer Tap Int Grease Trap Roof Drain _ Floor Drain Classrm Sink Ext Grease Trap Standp Rec _ Lndry Tray Surgeons Sink R.P.Z. Valve Eye Wash Stn Lab Sink Breakrm Sink Shamp Sink Wtr Sewer Mtrs _ Plaster Sink Dip Well Flr/Wst Sink Deduct Meters _ Sterilizer Hose Bibs Wtr Usage Mtrs Misc. Fixtures Electric Contractor (for projects not requiring a n EIV Form) Use /Nature of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service o~~o~