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HomeMy WebLinkAbout0104417 POSHKOSH ON THE WATER .lob Address 850 JACKSON ST Contractor SOPER PLUMBING CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner PAUL J WITT/SHANNON REID Category 411 - Residential-Water Heaters No 104417 Create Date 09/26/2003 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 $500.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided Issued By Date 09/26/2003 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 2225 BURNWOOD DR Oshkosh WI 54902 - 0000 Telephone Number 426-2151 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. OSHKOSH ON THE WATER Job Address 850 JACKSON ST Contractor SOPER PLUMBING CITY OF OSHKOSH PLUMBING PERMIT- APPLICATION AND RECORD Owner PAUL J WITT/SHANNON REID Category 411 - Residential-Water Heaters Bathtub 0 Shower 0 Ejector/Grtnd 0 DipWell 0 F Prep Sink Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink __ Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin __ Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn Water Heater 1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker No 104417 Create Date 09/26/2003 Plan 0 Gar Drain 0 0 Soda Disp 0 0 Coffee Maker 0 0 Int Grease Trap 0 0 Ext Grease Trap 0 0 RPZ Valve 0 0 Eye Wash Statn 0 0 0 Use/Nature ~FR/Replace gaswater heater. of Work Sanitary Sewer Storm Sewer Water Service Size Material Type # Conn. Type 0 0 0 0 0 0 0 Valuation $500.00 Plan Approval $0.00 Permit Fees $20.00 [] Permit Voided Issued By ~-~, Date 09/26/2003 In the performance of this work, I agree to perform ail 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 perfor0~ the work described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement h~der(s) and to secure any necessary approvals before starting such activity. I y ~ ~ ''~ - Agent/Owner Address 2225 BURNWOOD DR Oshkosh WI 54902 - 0000 Telephone Number 426-2151 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 POBox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 O/HKO/H Plumbing Permit Application 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 performance of which all 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 permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. ]f Fou are a contractor participating in the Permit Fee Account System and have adequate funds, check here if you want this processed through ~/our account Job Address _,:~-'tO ~,o,O Value (lncludinglaborandmaterials).~.~_~_g~ Date Owner ~ ~- ~.~f 7 ~" Contractor ~'~.~ ~Single Family [~]Duplex ~]Multi-Family V-]Rental [~]Commercial [--]Industrial Number of Fixtures: Bathtub Lndry Standp Dent. Oper. Shamp Sink Whirlpool Disposal Dip Well Flr/Wst Sink · Lavatory Dishwasher Drink Ftn Catch Basin Toilet Sump Pump Wait, St. W~sh Fm Res. Sink Ejector/Grind Ice Chest Urinal Bar Sink Water Softner Exam Sink Gar Drain Water Heater // Local Waste Sculry Sink Soda Disp ~'Gas [3 Elect I3 PwrVnt Clothes Wshr Hand Sink Coffee Maker Shower Bidet F Prep Sink Ice Maker Floor Drain Beer Tap Serv Sink Site Drain Lndry Tray Classrm Sink Iht Grease Trap Roof Drain Lab Sink Surgeons Sink Ext Grease Trap Standp Rec Piaster Sink Breakrm Sink Sterilizer Electric Contractor Use / Nature of Work OR [~Electric Installation Verification form attached (If Replacement) Sanitary Sewer Size Material Type # Conn. Type Storm Sewer Water Service 3/02