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HomeMy WebLinkAbout0146803-Plumbing (water heater) CITY OF OSHKOSH No 146803 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 504 CEAPE AVE Owner NATHAN A ROSS Create Date 07/13/2011 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 #1987 of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 0801350000 Valuation $1,553.84 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided Issued By Z Y Date 07/13/2011 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 °I1 Oshkosh, WI 54903 -1130 Phone: (920) 236 -5050 RECEIVED Fax: (920) 236 -5084 Off - IKOJ� --I JUL 1 2011 ON THE WATER 3 PIumbing • i 'ption INSPECTION SERVICES DIVISION. mi 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 -5 C cape Ativ, Value (Including labor and materials) 55 3, - Date 2 `" /t2* —// Owner A444,4 go 5 S Contractor ,44e7.4 - Gress .: ['Single Family . ODuplex ['Multi-Family ORental OCommrcial ' DIndustrial" . Number of Fixtures; Bathtub Disposal Drink Fm Catch Basin Whirlpool Dishwasher Wait. St. Wash Fm Lavatory Sump Pump Ice Chest Urinal Toilet Ejector /Grind Exam Sink Gar Drain Res. Sink Water Softner Sculry Sink Soda Disp Sink Local Waste Waste Hand Sink Coffee Maker Water Heater / Clothes Wshr F Prep Sink Comm. Ice Maker ❑ Gas ❑ Elect PwrVnt Bidet Sery Sink Site Drain Shower Beer Tap Int Grease Trap Roof Drain Floor Drain Classrm Sink Lnd Tray Ext Grease Trap Standp Rec ry y Surgeons Sink R.P.Z. Valve Lab Sink Eye Wash Stn Breakrm Sink Shamp Sink Wtr Sewer Mtrs Plaster Sink Dip Well P Flr/Wst Sink Deduct Meters Sterilizer Misc. Hose Bibs Wtr Usage Mtrs Fixtures Electric Contractor OR DElectric Installation Verification form attached (If Replacement) Use / Nature of Work iF' /q re 14)474,' 1/4.,4, $af'0 0 Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service 11/05