HomeMy WebLinkAbout0104903-Plumbing (water heater)OSHKOSH
ON THE WATER
,Job Address 2879 NEWPORT AVE
Contractor RAPID SOFT LLC
CITY OF OSHKOSH
Create Date
Plan
PLUMBING PERMIT - APPLICATION AND RECORD
Owner KEVIN J/SUSANN MCCALLUM
Category 411 - Residential-Water Heaters
SFP,/Replace gas water heater for Sears.
No 104903
10/22/2003
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp
Lavatory 0 LndryTray 0 LocalWaste 0 Wait. St, 0 Shamp Sink 0 Coffee Maker
Toilet 0 LndryStndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap --
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap --
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0 RPZValve
Water Heater 1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 Eye Wash Statn --
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
of Work
0
0
0
0
0
0
0
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size
$515.00 Plan Approval $0.00 Permit Fees
Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00 [] PermitVoidedJ
Date 10/22/2003
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
Address P.O. BOX 4052
AgentJOwner
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.
RECEIVED
Oivj of Oshkosh
Inspection Services Division
PO ox m0 OCT 2 0 200,3
Oshkosh, WI 54903-I 130
Phone: (920) 236-5050
Fax: (920) 236-5084 *,,Ob, fblUNffy DEVELOPMEI T
Plumbing Permit Application
I hcreby apply for a permit to do and instil the following plumbing on the premises herdnafler described, the work to conform to
Wisconsin State Plumbing Code, in the performance of which al! parties.hereto agree to and are bound by said statutes.
· Application(s) and fee(s) can be brought to C/ty Hall, Room 205 or mailed to Inspection Services, PO Box 1 I'28,
Oshkosh WI $4903-I 128. Co,,~uencing work without perm/t(s) will result/n fees being doubled or $100.00 plus the
normal permit fee, wh/ch ever is greater.
OR
[f Fou ate.a co~tractor Partici~atin~ in the Permit Fee ~ccount SYstem and have adequate funds, eke~k here
ff vou want this processed Dirough your account n
Job Address ..-~?~ /~c'-~ /~,-f,,~ Value(Includin8iabor~ndnmmals) ~-/f7'. ~c) ,~
Owner J'P~ ~- c"~. / r' -- ,~ Contractor
~ingle Family ~-]Duplex [~]Multi-Family [~Rental ['"]Commercial
Date /c~..-/~--o ~-
[~lndustrial
Number of Fixtures:
Bathtub Ia~ry Standp Dent.
Whirlpool ~j Dip Well
~vat~ ...... ~sh~ ~nk Fm
T~l~t Su~ P0~ .... Wait. St
~. S~nk ....... ~/~ .......... ke Ch~t
~ $~k Wat~ ~ ..... E~m S~k
Wn~ ~ ~ ~ W~ ~uI~ Sink
~m G ~t ~ ~Vnt ~ W~r Ha~ S~k
S~ ~ ~ ~ Si~k
~r ~in " ' ~ Tap , , Se~ S~k
~ T~ ~S~k ' hi ~ T~
~b Sink
S~ Sink Exi ~ T~
~ Sink
Shangu Sink
FlrAVst Sink
Catch Basin
Wash FU~
Urinal
Oar Drain
Coff~ Maker
Ice Maker
Site Drain
RoofDrdin
Electric Contractor
Use / Nature of Work
Sanitary Sewer Size
Storm Sewer
Water Service
Material
O~R ['-]Electric lnstnH~tion Verificati6n form attached
(If R~placcn~flt)