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Home My WebLink About0139390-Plumbing (water heater)0 OSHKOSH ON THE WATER Job Address 1016 N LARK ST CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner OSHKOSH HOUSING AUTHORITY No 139390 Create Date 10/21/2009 Contractor PAUL J FARIS PLUMBING LLC Category 413 - Res -Interior (Replacement Fixtures) Plan Bathtub Clothes Wshr Classrm Sink Surgeons Sink Roof Drain Deduct Meters Shower Lndry Tray Exam Sink Sterilizer Soda Disp Wtr Sewer Mtrs Whirlpool Sump Pump F Prep Sink RPZ Valve Coffee Maker Wtr Usage Mtrs Lavatory San Sump/Pump Flr/Wst Sink Bidet Site Drain Misc. Toilet Water Softner Hand Sink Urinal Wait. St. Fixtures Kit Sink Standp Rec Lab Sink Beer Tap Ice Chest Disposal Gar Drain Plaster Sink Dip Well Comm Ice Maker Dishwasher Local Waste Sculry Sink Drink Ftn Int Grease Trap Floor Drain Bar Sink Sery Sink Wash Ftn Ext Grease Trap Hose Bibb Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn Water Heater 1 Use/Nature SFR LATE PERMIT/ Install power vent water heater (Advocap Job). of Work Valuation Issued By $1,000.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided Date 01/04/2010 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 Address N4571 SHEEHAN LAKE LN Date Agent/Owner CAMPBELLSPORT WI 53010 - 1456 Telephone Number 920-979-8602 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. DEC-30-2009 03:99 PM 9209234243 P.07 City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh. 'W'134903-1130 Phone:(930)2.36-SOSO Fax:(920)236-S094 Plumbing Permit Application 1 hereby apply fbr a permit to do and Install the following plumbing on the promises hereinafter described, the work to confbrm to the Wisconsin Stator Plumbing Code, in the perfbrmance of which all parties hereto agree to and are bound by said statutes. • Application(s) and fee(&) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh Wl 34903-1128. Commencing work without permit(s) will result In fees being doubled or S100.00 plus the normal permit lee, which ever is. greater. OR if wali gre- a, contractor partleigating In the Permit &a Account System and haZg ad"UU fXndj. chgakharg if MaK.Xgat Your agggUfiL-L36-- ** Advisory - For applicable projects, an Electrical bmtellation Verification (EM form, signed by fan Electrical Contractor or Homeowner (far Installations allowed to be performed by the homeowner) moat be submitted with the permit application. Applications submitted without an MV when such Is required, wM not be processed for Permit Issuance and will be returned for completion. Job Address /{r V jce-l- Sc— Value gmdudin m*r cad materiais�,,4C.= Date Owner (' (7eAi If., f S ' Contractor MLn-91"6 Family rimplex []Multi -Family ❑Rental ❑Commercial ` lndustrtal Number- of Fixtures: Baddub Disposal Drink Ftn whirlpool Dishwasher Wait. Stt, Lavatory Sump Pump Ice Chest 'railer Ejector/Grind Exam Sink Rai. Sink Water Sorter Soalry Sink Bar Sink Local Waste fund Sink Water nester ( Clothes Wshr F Prop Sink ❑ Gas i] 13Iec�flt Bidet Sc v Sink Shower Beer Tap lot Chuang Trap Floor Drain Cwm Sink Bxt Grease Trap Lndry Tray Surpons Sink R.p.- valve Lab Sink Breakrar Sink Shaatp Sink Plrum Sink Dip Well PldVVA Sink Sterillur Hon Bibs Milo. Fixture Electritr Contractor (for projects not requiring an EIV Form) Use I N afirre of Work Sanitary Sewer Storm Swow Water Service Catch Benin Wash AN Urinal Oar Drain Soda Disp CotRe Maker Comma. toe Maker Site Drain Roof Drain Star* Ago Bye Wash Ste wtr Sewer Mtra Deduct Meter Wtr Usage Mtn i �" 07/07