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Home My WebLink About0105406-Plumbing (water heater)OSHKOSH ON THE WATER .lob Address 939 EASTMAN ST Contractor SOPER PLUMBING Bathtub 0 Shower 0 Whirlpool 0 Floor Drain 0 Lavatory 0 Lndry Tray 0 Toilet 0 Lndry Stndp 0 Res. Sink 0 Disposal 0 Bar Sink 0 Dishwasher 0 Water Heater 1 Sump Pump 0 Site Drain 0 Classrm Sink 0 Roof Drain 0 Breakrm Sink 0 CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner KELLY J BURNETT Category 411 - Residential-Water Heaters No 105406 Create Date 11/20/2003 Plan Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Use/Nature SFR/ RENTAL/ Replace gas water heater. of Work Sanitary Sewer Storm Sewer Water Service Size Material Type # 0 0 0 0 0 0 0 Conn. Type Valuation $500.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided Issued By Date 11/20/2003 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. 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 If Vou are a contractor participating in the Permit Fee Account Svstem and have adequate funds, check here i£¥ou want this processed through your account Job Address ~ ~'~2~ Value (lncludinglaborandmaterials). ~'- ~' Date Owner /~-"~ ~/ Contractor ~>p.,-~ r-]single Family [--]Duplex [~Multi-Family D~Rental [~Commercial ]--]Industrial Number of Fixtures: Bathtub Lndry Standp Dent. Opcr. Shamp Sink Whirlpool Disposal Dip Well FIr/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 J~Gas B Elect 5 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 Breakrm Sink Sterilizer Electric Contractor r-]Electric Installation Verificatidn form attached (If Replacement) Use / Nature of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service 3/02