HomeMy WebLinkAbout0133069-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 885 GRACELAND DR
Contractor THOMAS PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Owner GINGERA LENNON
No 133069
Create Date 09/23/2008
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
Valuation $700.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
Issued By _~~~ Date 09/23/2008
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 hold~~(s) and to secure any necessJ~~ry approvals before starting such activity.
Signature Z,!1/4..,~ ~1 ~i'.'I,I.%'JG~Lt~----__ Date `~ - ~.j -~ :: ~'
Address 849 VINE ST
Agent/Owner
OSHKOSH
WI 54901 - 3665 Telephone Number 232-0094
i o 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 performed 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
HKO H
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
~you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
you want this processed through your account ^
** Advisory -For applicable projects, an Electrical Installation Verification (EIS form, signed by the Electrical
Contractor or I3omeowner (for installations allowed to be performed by the homeowner) must be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permigt,Issuance and will be returned for completion. °/
Job Address ~ 0 ~ ~~~~-l~~d- Value (Including labor and materials) ~~T~, ~ Date l 23
Owner ~Z~9,e..~- ~ n a ~! Contractor ~w~>n-~c~S ~~~ ~^ b
[~3ingle Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial
Number of Fixtures:
Bathtub Disposal Drink Ftn
Whirlpool Dishwasher Wail. St.
Lavatory Sump Pump Ice Chest
Toilet Ejector/Grind Exam Sink
Res. Sink Water Softner Sculry Sink
Bar Sink Local Waste Hand Sink
Water Heater _~ Clothes Wshr F Prep Sink
~ Gas ^ Elect ~~ PwrVnt Bidet Serv Sink
Shower Beer Tap Int Grease Trap
Floor Drain Classrm Sink Ext Grease Trap
Lndry Tray Surgeons Sink R.P.Z. Valve
Lab Sink Breakrm Sink Shamp Sink
Plaster Sink Dip Well Flr/Wst Sink
Sterilizer Hose Bibs
Misc.
Fixtures
Electric Contractor (for projects not requiring an EIV Form)
Use /Nature of Work
Size Material Type # Conn. Type
Sanitary Sewer
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 Mtrs
Deduct Meters
Wtr Usage Mtrs