HomeMy WebLinkAbout01333405-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 438 W 11TH AVE
Contractor M P KELLY
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
1
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
0906480000
CITY OF OSHKOSH No 133405
PLUMBING PERMIT -APPLICATION AND RECORD
Owner MATTHEW LEBOUTON/JACQUELINE DUSHEN Create Date 10/10/2008
Category 411 -Residential-Water Heaters
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest Flr/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
Classrm Sink Sterilizer Surgeons Sink Ice Maker
Breakrm Sink Dip Well F Prep Sink Gar Drain
Ejector/Grind Drink Ftn Serv Sink Soda Disp
Valuation $932.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
Issued By ~-. Date 10/10/2008
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
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.
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City of Oshkosh
;;
Inspection Stnvices Divi3ion
POBox113a '
Oshkosh, WI 54903-1130... `'~ '
Phoue:.(920) 236-5.050
FBX: (920) 23C)-SOHO ON THE WATER
' ,~
Plu'r»•bi~g. F~'ewl~i~t :~~p~it~nn
I hereby alspljr for ~.pertnit to do~arid<install the following piutiibing on:tlie,pretirises ~het'einatter desen'tr~d,-the work to conform to the ~~
WisEOnsin State plumbing Code, in the.performance of vv~ieh all pares hereto~~gree~o and are~iound by said statutes.
PO Box 1128
• Application(s) and fee(s) cap be.broi~:g'fii~',to.~~ity Ha11,:Itoarn 2fl5~ or mailed tti ~lanspection~~erv~es,
Oshk+ush WI .5#903-1T28.. ~Go~neitci~~°work wthout~pertnit(s)~v~ll rtrslal~~~ii~ fees being daal~l~e!d,or $1.00.00 plus the
~•
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OR ~;
I o'u. re.a.conara.ctor. artici actin : in .tlie Per i~t' .ee 'eCOU:n~: stem alt :~~ave.ad ~$ un c ere ,t
i ou want this roc¢ssed `throe h our acc u ~t
dress ~!'~ . / / ~/~- ~ (It{Ciuditt>lilt<bor atld~• , ~. `sill) . •
.Job Ad ~ ..
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[).maser
:)~am~il~ [~Du~piex
Number of :Fixtures:
Bathtub : Disposal
Whirlpool 'Dishwasher
Lavatory Sump Pump
Toilet Ejector/Grind
Rea. Sink. Water Softner
..BarSi Local Wastes
Wa eater ~ Clothes Wshr
o E~ecr o RwrVnt ~$idEt
Shower 'Stec Tap
Floor Drain Classtm•Sink
Lndry Tt`te~c, :SurgyiinS.Sink
Iab Sink - Btrsltmi`Sink
Plaster Sink ~.~. Dip'VUell
Sterilizer
..;;
Misc.
. Fixtures
:Electric Contractor
~Ese /-Nature of
Sanitary Sewer
.; :~totrn;Se~er;:;-
. ~~.~aterService:..
..~
r.1~H.$"i'Ca~Se~.'I't8p Standp Rec
ArP~Z:~V81Ke -. ,~i: Wash Stn
.$hamp~Sitik - V~tr Sewcr~.M#r5 ~..
.. sE1rGWaGSink " . ~ .., , ;IJ'~c1uCt MGteis
r:~sagg Mtrs
~:.. ....
~. .~;.
nR .~ ~ ~>a~~n +~=e~n~trnn~~~o~rm attaEhed
Conn.. Type
' 405 ~