HomeMy WebLinkAbout0104123-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 1730 HUNTERS GLEN DR
Contractor M P KELLY
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner MARKT/CAROL J LANGKAU
Category 411 - Residential-Water Heaters
No 104123
Create Date 09/11/2003
Plan
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 0 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0
Water Heater 1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature SFR/Replace gas water heater.
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 $436.00 Plan Approval $0.00 Permit Fees $20.00 ~ 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 665 N MAIN ST OSHKOSH WI 54901 - 4431 Telephone Number
231-1750
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
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-508~
R C i'V ED
SEP I 20uJ
DEPARTMENT OF
Plumbing
Of HKO_fH
ON THF WATER
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 perforr~nce of which all pardes 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 Wl 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever ig ~eater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, cheek here
if you want this processed through ~our account ['~
.,o,, .ddrc.s / ''n'''d'n'''ho'and
Owner r/~/~ ~:),~S~'/i~tX..~ Contractor
_ /.__, / / '
[~mgle Family [--]Dnplex ~Multi~Family ~Rental ~Commereisl ~Indus~ial
Number of Fixtures:
Bathtub L.ndry Standp Dcm. Opex. Shnmp Sink
Whirlpool Disposal Dip Well Flr/Wst Sink
Lavatory Dishwasher Drink Fm CaSh Basin
Toilet Sump Pump Wait. St. Wash Fm
Res. Sink Ejector/Grind Ice Chest L~'inll
Bar Sink Water Soll~er Exam Sink Gar D~in
~ter ~ , Local Waste Sculry Sink Soda Dig
Elect D P~rVnt Clothes Wshr Hand Sink Coffee Msker
Shower Bidet .... F Prep Sink lee Maker
Floor l~ain Beet Tap Se~ Sink Site D~sin
Lndry Tray Classrm Sink Iht Grease Trap Roof Drain
Lab Sink Surgeons Sink Ext Grease Trap Standp Rec
Plaster Sink Btenkrm Sink
Sterilizer
Electric Contractor
Sanitary Sewer
Storm Sewer
Water Service
O'R I-']Electric Installation Veriflcati6n form attached
(If Replacement)
Size Material Type # Conn. Type
3/02