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HomeMy WebLinkAbout0143210-Plumbing (water heater) CITY OF OSHKOSH No 143210 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 512 520 ALGOMA BLVD Owner BLANKSTEIN ENTERPRISES INC Create Date 04/07/2010 Contractor THE PLUMBING AND HEATING PEOPLE INC Category 446 - Commercial -Water Heaters • 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 LATE PERMIT/ Replace water heater at 512. "check #5674 of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 0701670000 Valuation $4,500.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided Issued By air'- Date 09/20/2010 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 Date Agent/Owner Address PO BOX 13542 MILWAUKEE WI 53213 - 0542 Telephone Number (414) 453 -1515 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. City of Oshkosh - Inspection Services Division - Plumbing Permit Application Page 1 of 2 Division of Inspection Service E C E i \€ D ' 1 4111 ) 215 Church Avenue P.O. Box 1130 Oshkosh, WI 54903 -1130 f / Fax (920) 236 -5084 AUG 11 2010 Phone (920) 236 -5050 DEPARTMENT OF COMMUNITY DEVELOPMENT INSPECTION SERVICES DIVISION PLUMBING PERMIT APPLICATION All information with * next to it must be provided. Incomplete applications will not be processed. 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. If you are a contractor participating in the Permit Fee Account System and have adequate funds, type YES if you want this processed through your account ** 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) must be submitted with the permit application. Applications submitted without an EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. *30B ADDRESS 57,1 - O ■AAA. *OWNER Q v(A- s4-e -.• ✓- w�'�✓1Q'- se-i *CONTRACTOR -r t, ie- PtV oi")4 C vN d � + M,t^ - 4 PtoP i e- ` X64 1 L.-t- *VALUE COW *USE *USE CATEGORY O Single Family O Duplex O Multi - Family Rental Commercial 0 Industrial Bathtub Sump Pump Plaster Sink Roof Drain Shower San. Scullery Sink Soda Disp Sump /Pump Whirlpool Water Softener Service Sink Coffee Mkr h ttp: / /www.ci.oshkosh.wi.us/ Community _Development /Inspection_Services /Permit App_... 8/10/2010 City of Oshkosh - Inspection Services Division - Plumbing Permit Application Page 2 of 2 Lavatory Standpipe Rec Shamp Sink Site Drain Toilet Garage FD Surgeons Waitrs Stn Sink Kit Sink Local Waste Sterilizer Ice Chest Disposal Bar Sink RPZ Valve Maker Dishwasher Breakrm Sink Bidet Int Grease Trap Floor Drain Classrm Sink Urinal Ext Grease Trap Hose Bibb Exam Sink Beer Tap Eye Wash Stn Water Heater X F Prep Sink Dipper Well Deduct Meter X Gas Electric Pwr Floor Sink Drink Fntn Wtr Sewer Mtr Vnt Clothes Wshr Hand Sink Wash Fntn Wtr Usage Mtr Lndry Tray Lab Sink Catch Basin Misc Fixtures *USE / NATURE OF WORK R L6 c t 1 eevt9 c� L - R ELECTRIC CONTRACTOR (for projects not requiring an EIV Form) Size Material Type # Conn. " Sanitary Sewer Storm Sewer Water Service Submit j [ Reset http: / /www.ci.oshkosh.wi.us/ Community_ Development /Inspection_Services/Permit App_... 8/10/2010