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HomeMy WebLinkAbout0144849-Plumbing (water heater) e oh CITY OF OSHKOSH No 144849 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1422 E MURDOCK AVE Owner CHARLES S /MARDELL R SOWERS Create Date 02/08/2011 Contractor JOHN D RANSOM Category 411 - Residential -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 FIr/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 / REPLACE GAS WATER HEATER *"check #1193 of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 1521780000 Valuation $695.00 Plan Approval $0.00 Permit Fees $25.00 ❑Permit Voided Issued By 8M-S". Date 02/08/2011 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 W5056 PARADISE LN FOND DU LAC WI 54935 - 9662 Telephone Number 920 - 922 -1987 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. lu twpw - -- -- Ci of Oshkosh Inspection Services Division RECEIVED p P 1 Oshkosh, I 54903 -1130 Os FEB - 8 2011 hkosh, WI (� Phone: (920) 236 -5050 DEPARTMENT OF Of Of Fax: (920) 236-5084 COMMUNITY DEVELOPMENT ON THE WATER INSPECTION SERVICES DIVISION Plumbing Permit Application I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the Wiscormin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes. 1 ' { • Application(s) and fee(s) can be brought t0 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 S100.00 plus the normal permit fee, which ever is greater. OR • lou are a contractor participatinx in the Permit Fee Account System and have adequate funds, check here i ou want this ,rocessed throu: h our account • Job Address / -` IMtti zd. Value (Including labor and materials) !O 9' Date 1 `-,3 I'_ I 1 Owner • Contractor • *Ingle Family 'DDnplex • - 01Viu1ti- Family QRental DCommerciai []Industrial Number of Fixtures: - Bathtub Lndry Standp Dent Open. Slsamp Sink Whirlpool Disposal - Dip Well Flr/Wst Sink Lavatory Dishwasher Drink Ftn Catch Basin Toilet g Pip Wait St. Wash Ftn Res. Sink Ejector /Grrind Ice Chest Urinal Bar Sink Water Softner Exam Sink Gar Dram Water Heater Local Waste Sculry Sink Soda Disp Oran 0 Elect 0 PwrVnt Clothes Wshr Hand Sink Coffee Maker Shower Bidet F Prep Sink Ice Maker Floor Drain Beer Tap Sery Sink Site rain Lndry Tray Classrm Sink Int Grease Trap Roof Drains Lab Sink Surgeons Sink - Ext Grease Trap Standp Rec Plaster Sink Breaham Sink R P Z Valve Eye Wash Stn ' SteriIizer - Electric Contractor OR []Electric Installation Verification form attached (If Replacement) - Use / Nature of Work ft lac ? Size Material Type # Conn. Type Sanitary Sewer Storm Sewer - Water Service ' F . •