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Home My WebLink About0104494-Plumbing (water heater)OSHKOSH ON THE WATER JobAddress 1821 HARRISON ST Contractor ADAMS PLUMBING Bathtub 0 Shower Whirlpool 0 Floor Drain Lavatory 0 Lndry Tray Toilet 0 Lndry Stndp Res. Sink 0 Disposal Bar Sink 0 Dishwasher Water Heater 1 Sump Pump Site Drain 0 Classrm Sink Roof Drain 0 Breakrm Sink CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner LEO M/MURIEL M METZLER TRUST Category 441 - Industrial-Water Heaters No 104494 Create Date 10/01/2003 Plan 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0 0 WaterSoftner 0 Drink Ftn 0 ServSink 0 Soda Disp 0 0 Local Waste 0 Wait. St. 0 ShampSink 0 Coffee Maker 0 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0 0 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Use/Nature COMM/Replace electric water heater. *A separate electrical permit is required. 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 $350.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided Issued By Date 10/01/2003 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 1570 N OAKWOOD OSHKOSH WI 54904 - 0000 Telephone Number 233-2661 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) 236-5084 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 ~vork 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 participatin~ in the Permit Fee Account System and have adequate funds, check here if you want this processed through your account [~ JobAddress l~,~l l~4~rTt.50'~, Value (Including labor and materials) Owner O. [</3o Contractor [~JSingle Family [--]Duplex [~Multi-Family [--]Rental ~Commercial Oat gc T ! [--]Industrial Number of Fixtures: Bathtub Lndry Standp Dent. Oper. Whirlpool Disposal Dip Well Lavatory Dishwasher Drink Fta Toilet Sump Pump Wait. St. Res. Sink Ejector/Grind Ice Chest Bar Sink Water Softner Exam Sink Water Heater f Local Waste Sculry Sink [3 Gas E~t [2 P~wVnt Clothes Wshr Hand Sink Shower Bidet F Prep Sink Floor Drain Beer Tap Serv Sink Lndry Tray Classrm Sink Iht Grease Trap Lab Sink Surgeons Sink Ext Grease Trap Plaster Sink Breakrm Sink R;P.Z. Valve Sterilizer Shamp Sink Flr/Wst Sink Catch Basin Wash Fto Urinal Gar Drain Soda Disp Coffee Maker Ice Maker Site Drain Roof Drain Standp Rec Eye Wash Stn Electric Contractor Use / Nature of Work OR [~]Electric Installation Verification form attached (If Replacement) Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service 7/03