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HomeMy WebLinkAbout0133582-Plumbing (water heater)OSHKOSH ON THE WATER Job Address 40-90 WISCONSIN ST CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Owner D&F INVESTMENTS No 133582 Create Date 10/20/2008 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 Valuation Issued By Category 441 -Industrial-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 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 Date 10/20/2008 AgenUOwner Address 522 W 6TH AVE 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 pertormed within two business days from the time the project is ready. $1,000.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided) 10/17/2008 11:01 FAX 19202302008 City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920)236-5050 Fax: (920)236-5084 ONEILL ENTERPRISES Plumbing Permit Application l'~jool/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 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 W I 54903-i 128. 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 pro3ects, an Electrical Installation Verification (EIV) 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 sabmitted without an EIV when such is required, will not be processed for Permit Issuance auttd will be retarned for completion. Job Address .Value (Including labor and materiala) ~ Date d j~ Owner Contractor ^Single Fam Duplex ^Mnlti-Family ^Rental ~Commerci 1 ^Indnstrial 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 D' ~P Bar Sink Local Waste Head Sink Coffce Maker Water Heater ~_ Clothes Wshr F Prep Sink Comm. ice Maker 0 Os~ Elect G PwrVat Bides Serv Sink Site Drain Shower Beer Tap Int Grease Trap hoof Drain Floor Drain Classrm Sink, Ext Grease Trap Standp Rec Lndry Tray Surgeons Sink R.P.Z. Valve Eye Wash Sm Lab Sink g Sink Shamp Sink Wtr SewerMtrs Plaster Sink Dip Well Flr/Wst Sink DeductMetors Sterilizer Hose Bibs Wtr UsageMtrs Mist, Fixtures Electric Contractor (for projects not requiring an EIV Form) Use /Nature of Work ~~Qi Size Sanitary Sewer Storm Sewer Water Service Material Type # Conn. Type ~Ckt~c. o~~o~ Oct 18 2008 5:56PM Shea Electric & Comm, LLC 920-303-9410 p.l City of Qkhkos6 Division of]rnpepioa Services 2l5 Qauoh Avenue PO Box t l30 O~hlcoch WI 54903-1130 Of'Fice 92 0.2 36-5 0 50 N Fax 920.236.5084 Electric Installation Verification I (We) ?//P~ ~~C~7Tt~ ~ i~~~muy/~r4TJ `~ ~ L (Electrical Contractor Name or Homeowner's Name} (Address) (City) (State) (Zip Code) accept the responsibility to perform the electric work as stated below, at the following address: (Address v~rhere work will be performed) The nature of the work consists of: (Check One or Describe the Nature of Work) Reconnection or new circuit fvr replacement Heating Plant and/or A/C Condenser. _~ Reconnection or new circuit for replacement Electric Water Heater or power vented water heater. Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles and lighting fixtures due to siding / soffit installation. Note: New Service Entrance Cables will require a separate permit. Reconnection or new circuit for the replacement of other permanently wired appliances /fixtures. New circuit for the addition of A/C to an individual dwelling unit, including required service electrical outlets. Note: Homeowners can only do their own electric on a single family owner occupied home. 1T'ork on a condominium, duplex, rental, or multi-use building would require a licensed Electrical Contractor. Other ~l The value of this work is $ I hereby verify this work will be performed in compliance with the License requirements of Section 11-22 of the Oshkosh Municipal code and further verify the reconnection /installation wi~l( be done in co~p}iatts~ with manufacturer and Electric code requirements. i /o-/ ~-Og or Homeowner) (Print Name) (Date) o~io~