HomeMy WebLinkAbout0152255 - Plumbing (water heater) CITY OF OSHKOSH No 152255
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1323 ONTARIO ST Owner ARNOLD/CYNTHIA M BRADSHAW
Contractor SAMMONS PLUMBING -- Create Date 09/11/2012
Category 411 -Residential-Water Heaters Plan
Inspector Jerry Fabisch
Bathtub Clothes Wshr Classrm Sink
Surgeons Sink _ _Roof Drain Deduct Meters
Shower __ Lndry Tray Exam Sink Sterilizer
Whirlpool Soda Disp Wtr Sewer Mtrs
P Sump Pump F Prep Sink _ RPZ Valve Coffee Maker
Lavatory _ San Sump/Pump FIr/Wst Sink Wtr Usage Mtrs
Bidet Site Drain Misc.
Toilet Water Softner Hand Sink
Urinal Wait.St. Fixtures
Kit Sink Standp Rec _ Sink
– _ Beer Tap Ice Chest
Disposal Gar Drain Plaster Sink Dip Di Well
Comm Ice Maker
Dishwasher Local Waste Sculry Sink Drink Ftn
Floor Drain Bar Sink - -- _— Int Grease Trap
Sery Sink Wash Ftn Ext Grease Trap
Hose Bibb Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn
Water Heater 1
Use/Nature 0FR/INSTALL NG WATER HEATER **debit acct
of Work
I
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1210540000
Valuation $700.00 Plan Approval $0.00 Permit Fees _ $25.00 ❑ Permit Voided
Issued By a(' 1
Date 09/11/2012
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 522 W. MURDOCKAVE _ __ OSHKOSH WI 54901 -2298 Telephone Number
P (920)231-9880__
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.