HomeMy WebLinkAbout0159154-Plumbing (water heater) �
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� CITY OF OSHKOSH No 159154 ;
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OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER �`
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Job Address 3445 EICHSTADT RD Owner DAVID R/DEBRA A RUHL Create Date 12/26/2013
Contractor DAN KELLY PLUMBING Category 411 -Residential-Water Heaters Plan
Inspector Jerry Fabisch �
Bathtub 0 Clothes Wshr 0 Classrm Sink 0 Surgeons Sink 0 Roof Drain 0 Deduct Meters 0
, Shower 0 Lndry Tray 0 Exam Sink 0 Sterilizer 0 Soda Disp 0 Wtr Sewer Mtrs 0
Whirlpool _ 0 Sump Pump 0 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 0 San Sump/Pump 0 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. p
Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. 0 Fixtures
Kit Sink 0 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest 0
Disposal 0 Gar Drain 0 Plaster Sink 0 Dip Well 0 Comm Ice Maker 0 �
Dishwasher 0 Local Waste 0 Sculry Sink 0 Drink Ftn 0 Int Grease Trap 0
Floor Drain 0 Bar Sink 0 Serv Sink 0 Wash Ftn 0 Ext Grease Trap 0
Hose Bibb 0 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 1
Use/Nature SFR/water heater replacement
of Work
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Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
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Water Service
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Parcelld# ;
1250177200
Valuation $700.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided I
Issued By �.� Date 12/26/2013
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 ea ement,the City strongly urges the permit applicant to contact the
easement ho and to secure any neces ry vals before starting such activity.
Signature -----�� Date
AgenUOwner
Address 5097 SHERMAN RD OSHKOSH WI 54901 -9755 Telephone Number (920)284-1458
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.
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