HomeMy WebLinkAbout2003-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 1638 WALNUT ST
Contractor SOPER PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner LAWRENCE/PA GAUGER
Category 411 - Residential-Water Heaters
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink
Whirlpool 0 Floor Drain 0 Water Soffner 0 Drink Ftn 0 Serv Sink
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink __
Toilet 0 LndryStndp 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 104045
Create Date 09/09/2003
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 $450.00 Plan Approval $0.00 Permit Fees $20.00 [] Permit Voided1
Issued By ~
Date 09/09/2003
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 ~(~lder(s) ~.~o secure any.~essary approvals before starting such activity.
Signature~/~ ~..~'~'~;z.~¢ ~ ~ j Date
V~"~ - ~'/~-~ 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
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 work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
l£you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account ~]
Job Address/'~=-~c~0 /.t20~.,~z~ff'- Value (tncludinglaborandmaterials)~.''O. OO Date
Owner ff~s~? _(~v~z.~. ~ _..~-'~, Contractor
[ SingleFam.y V Duplex nMulti-hmily [ Reutal E]Commercial []Io,tnstrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper. Shamp Sink
Whirlpool Disposal Dip Well Flr/Wst Sink
Lavatory Dishwasher Drink Fm Catch Basin
Toilet Sump Pump Wait. St. Wash Ftn
Res. Sink Ejector/Grind Ice Chest Urinal
Bar Sink Water Sofmer Exam Sink Gar Drain
Water Heater / Local Waste Sculry Sink Soda Disp
~i~ Gas [2 Elect [3 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 Int Grease Trap Roof Drain
Lab Sink Surgeons Sink Ext Grease Trap Standp Rec
Plaster Sink Breaknu Sink tLP.Z. Valve Eye Wash Sm
Sterilizer
Electric Contractor OR
Use / Nature of Worl~ ~,~,c~~~
Sardtary Sewer
Storm Sewer
[--]Electric Installation Verification form attached
(If Replacement)
Size Material Type # Corm. Type
Water Service
7/03