HomeMy WebLinkAbout0146327-Plumbign (water heater) CITY OF OSHKOSH No 146327
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 15 W TENNESSEE AVE Owner MUA THAO /SEE HANG Create Date 06/13/2011
Contractor AHERN -GROSS INC. Category 411 - Residential -Water Heaters Plan
Inspector Rich Wood
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 / REPLACE POWER VENT WATER HEATER * *check #14973
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1500620000
Valuation $1,450.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By ))1"- Date 06/13/2011
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 218 S MAIN ST FOND DU LAC WI 54935 - 4908 Telephone Number 920 - 921 -1414
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
PO Box 1130 2 '
Oshkosh, WI 54903 -1130
Phone: (920) 236 -5050 OKO�H
Fax: (920) 236 -5084
ON THE WATER
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
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
Job Address /. kt. 7?D/IP' le G S-i- Value (Including labor and materials) / L i), O'.? Date 6 -- / 0 -
Owner /12(44 - f J v Contractor A er4 -- d�.)s.i 774:% <.;
`Single Family ['Duplex ['Multi- Family ['Rental ['Comm f ;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 0 ElectgPwrVnt Bidet Sery Sink
Shower Site Drain
Beer Tap Int Grease Trap Roof Drain
Floor Drain Classrm Sink
Ext Grease Trap Standp Rec
Lndry Tray Surgeons Sink
rg R.P.Z. Valve Eye Wash Stn
Lab Sink Breakrm Sink
Shame Sink Wtr Sewer Mtrs
Plaster Sink
Dip Well
P Flr/Wst Sink Deduct Meters
Sterilizer Hose Bibs
Wtr Usage Mtrs
Misc.
Fixtures
Electric Contractor OR ['Electric Installation Verification form attached
f� (If Replacement)
Use / Nature of Work /1 � h4 rc, /44 /0/ � j e �p 0— 4 as
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
11 /os