HomeMy WebLinkAbout0134095-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 1025 COOLIDGE AVE
Contractor THOMAS PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
CITY OF OSHKOSH No 134095
Sanitary Sewer
Storm Sewer
Water Service
n.
Parcel Id #
1606880000
PLUMBING PERMIT -APPLICATION AND RECORD
Valuation $650.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
Issued By ~~ Date 11/19/2008
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 p it application within an easement, the City strongly urges the permit applicant to contact the
easement Ider(s) nd to secure any ssary approvals before starting such activity.
Signature dt/lt.(-,,~ r ~~0.~)T.~- ~' Date / ~ - `~ a
Address 849 VINE ST
Agent/0wner
OSHKOSH
WI 54901 - 3665 Telephone Number 232-0094
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.
Owner WILLIAM BEHLING Create Date 11/19/2008
Category 411 -Residential-Water Heaters Plan
Shower Water Softner Wait. St. _ _ _ Shamp Sink Coffee Maker
Floor Drain Local Waste Ice Chest Flr/Wst Sink Int Grease Trap
Lndry Tray Clothes Wshr Exam Sink ____ ___ Catch Basin Ext Grease Trap
_ Disposal Bidet Scutry Sink Wash Ftn _ RPZ Valve
_ Dishwasher Beer Tap Hand Sink Urinal Eye Wash Statn
Sump Pump Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
1 Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters
_ Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Ejector/Grind Drink Ftn Serv Sink Soda Disp
.FR /Replace gas water heater.
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
O HK01H
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 you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your 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) mast be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issu/'a~nce/ and will be returned for completion. / /~
Job Address //1_s___7 S LQ!94(~~lh Value (Including labor and materials) (X [~, ~ /Date `~
J~ ~
Owner ~rZ 1 !ti Contractor
®Single Family ^Dupl x ^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 ~ Clothes Wshr F Prep Sink Comm. Ice Maker
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 requi ing an EIV Form)
Use /Nature of Work 1..~/I~~~_ Gf ~~1~' K~1G~J/ `F1'~. ~~1 . 7" ~~
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
07/07