HomeMy WebLinkAbout2003-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 1628 WALNUT ST
Contractor RAPID SOFT LLC
Bathtub 0 Shower 0
Whirlpool 0 Floor Drain 0
Lavatory 0 Lndry Tray 0
Toilet 0 Lndry Stndp 0
Res. Sink 0 Disposal 0
Bar Sink 0 Dishwasher 0
Water Heater 1 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner MR/MRS MICHAEL ROTH
Category 411 - Residential-Water Heaters
No 104120
Create Date 09/11/2003
Plan
Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Water Soffner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
LocalWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Beer Tap 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 0
Lab Sink 0 Plaster Sink 0 Standp Rec 0
Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature SFR/Install gas water heater for Sears.
of Work
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Valuation $400.00 Plan Approval $0.00 Permit Fees $20.00 ~J Permit Voided
Issued By
Date
09/11/2003
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 P.O. BOX4052 APPLETON WI 54915 - 0052 Telephone Number
920-757-6432
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.
Inspection Service~ Division
POBox 1130
Oshkosh, WI 54903-1130
(920) 23 - os0
Fax: (920) 236*5084
0
Plumbing Perm,t
I hereby apply for a permit to do and install the following plumbing on ibc premises hereinafter described, the work m conform to the
Wisconsin State Plumbing Code, in the performance of which all. parties.hereto al~'ee to and are bound by said staiutes.
· 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 ,4ccount $~$tcm and have adeouate Funds, checi here
if you want this processed
Job Address, ,/~ ~- ~/..o r~ Value (I~cludlng
~ner ~- / ~o~ Contractor
~S~gle Family ~Duplex ~Mulfi-Family
Date ~- ~'-~-~
~Industrinl
Number of Fixtures:
Bathtub .... [.'~flr~ S~andp Dent. Oper.
Whirlpool Disposal Dip Well
Lavatory Di~Nwash~r Drink Fm
Toilet ........ Sump Pump Wait. St
Rea. Sink EjeetodGgnd .... Ice Chest
Bar Sink Water Soflner Exam Sink
Water Heater I Local Waste Sculry Sink
~a~ U ~ i3 PwrVnt Cloth~ Wshr Hand Sink
Shower
.... Bidei , , F Prep Si~k
Floor Drain
" ' Beer Tap Serv Sink
l. ndry Troy ... Classrm Sink Iht Grease Trap
Lab Sink
Sur~ons Sink Ext Gteas~ Trap
Plas~er Sink
Breakrm Sink
Sterilizer
Shamp Sink
Flr/Wst Sink
Catch Basin
Wash Fin
Urln~l
Gar D~ain
Coffee Maker
Ice Maker
Site Drain
Roof'D~in
Electric Contractor
Use/NatureofWork ~ >7'~}( o,~-5
Size Material
Sanitary Sewer
Storm Sewer
[~Electric lustall~flon Veriflcafidn form attached
(if ~eCa~rr~0
Type # Conn. Type