HomeMy WebLinkAbout0104188-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 1109 TIMOTHY TRL
Contractor WATTERS PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner THOMAS J/LORI DEFORD
Category 410 - Residential-Interior
No 104188
Create Date 09/16/2003
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 $599.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Date 09/16/2003
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 1303 MIDWAY RD, PO BOX 118 MENASHA WI 54952 - 1129 Telephone Number
800-801-8125,733-81
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.
Frc :
09/15/200 ,¢208 P,O09
City of
Inspection Services Division
Oshkosh, WI 54903-1130
Phone: (920) 236.$0S0
Fax: (920) 236-5084
Plumbing Permit Application
h~rcby apply £or a permit to do and install the followtn8 plumbing on t~e premises hereinafter des,:tibed, the work to conform to
Wisconsin State Plumbl=§ Code, in ~he peffom',aace of which sll 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 pan'nit(s) will result in fees being doubled or $I00.00 plus the
normal permit tee, which ever is groats.
OR
~ou are a contractor ~arttcioatin~ in the Permit. Fee Acoount Svste~n and bare ad~ouate funds, chec~ hat,
if you want thtz #roces~ed throa~,A vog~r account .~
Job Address~.t Value (z.e]~ein~abo~,na,,~,i c~"~,,~ d::~ Oate~L
Owner~_ 'Contractor /~'~?~ ~~.~
· ~iagle F~mfly f'~Duplez ~]Mulfl-Family ['-]Rental [~]Commercla! ~dustraal
Number of Fixteres:
lil~th~b _ Ln~ Smndp Dent, 0,~-. Sh~mp ~ink
~irl~ol OJ~l O~ Welt F)t/Wst Sink
~va~ D~b~ ~nk ~ =. , Cash ~sin
~, Sink
B~ $ink ~/ Wat~ ~ ~m Sink ~ ~in
ct C}~ WS~ Ha~ S~k __ C~ Mak~
~i~t F ~ Si~ Ice Mak~
B~ Tap S~ Sink $i[c ~i~'
~b Sink
~ 8u~ Sink Ext G~ ~p. St~ R~
Pl~ Sink .,, a~ Sink
Sterili~
Electric Contractor O~ I--]Electric Installation Verificatidn form attached
Use / Nature of Work
Size ' Mate~tl T~¢ ii Com~ Type
Sanitary Sewtr
Storm Sewer
Water Service
s/o~