HomeMy WebLinkAbout0105059-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 1027 JACKSON ST
Contractor RAPID SOFT LLC
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner DAVID E SCHALLHORN
Category 411 - Residential-Water Heaters
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
0 Ejector/Grind 0 Dip Well 0 F Prep Sink
0 Water Soffner 0 Drink Ftn 0 Serv Sink
0 LocaIWaste 0 Wait. St. 0 Shamp Sink
0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink
0 Bidet 0 Exam Sink 0 Catch Basin
0 Beer Tap 0 SculrySink 0 Wash Ftn
0 Dent. Oper. 0 Hand Sink 0 Urinal
0 Lab Sink 0 Plaster Sink 0 Standp Rec
0 Sterilizer 0 Surgeons Sink 0 Ice Maker
No 105059
Create Date 10/30/2003
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 EyeWash Statn 0
0
0
Use/Nature ;FPJ Replace gas water heater for Sears.
of Work
Valuation
issued By
Sani~rySewer
Storm Sewer
Water Service
Size Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$450.00 Plan Approval $0.00 Permit Fees $20.00 [] Permit Voided
Date 10/30/2003
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 P.O. BOX4052 APPLETON WI 54915 - 0052 Telephone Number
920-757-6432
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
Ins~on S~wices Division
POBox 1130
Oshkust~ WI 54903.t t30
Phone: (920) 2365050
Fax: (920) 236-5084
RECEIVEB
OCT 2 8 2003 O_/ OJ'H
DEPARWv ENT OF
CO MUNI]7 DEVELOPMENT
Plumbing Permit Applicauon
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 Sla~e Plumbing Code, in the performance of which all parties.hereto agree to and are hotrod by said statutes,
· Application(s) and fee(s) can bc brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1 f28,
Oshkosh WI $4903-1128. Con'maencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ewr is greater.
OR
ff YOU are a.co~tractor ~articipattng in the Pcrroit Fee Account SFstern ~nd h.aVe adcquate [und$, check here
([you want.this processed through your account
Job Address /0~,? .~-- ,_./~.c~,y ....fly: Value (mcluamsk~ra~,rat~i~,)
Owner _~ ~ ~//.~f a ..... Contractor
[~ingle Family [~Duplex []Multi-Family ~]Rental ['"]Commercial
Date/o .~ v-~
[-]Industrial
Number of Fixtures:
Bathtub Lndry St~dp Direr. ~.
~1 ~1 Dip Well
~va~ ~h~s~ ~uk Fm
T~I~ .... S~ ~ ..... Wait. St.
R~. S~k ~/~nd ........ ke Ch~
~ Sink Wa~ ~ .... ~ S~
Wa~ ~ ~ W~ Scu~ Sink
~ E El~t ~ ~Vnt CI~ W~t H~ S~k
Sh~ B~m , F ~ Sink
~ ~in ~ Tap ~ Sink
~ T~y ......... CI~ Sink Iht ~ T~
~ Sink S~s Sink Ext ~ ~
P~ S~ B~
$~z~ ....
Electric Contractor
Use / Nature of Wor]~
Size
Sanitary Sewer
Storm Sewer
Water Service
Material Type
O'R [[]Electric Installation Veriflcatign form attached
(If Rep]sternest)
# Com. Typ~