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Home My WebLink About0105836-Plumbing (water heater)CITY OF OSHKOSH 105836 No OSHKOSHPLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address11 FULTON AVEOwnerKELLY J BURNETTCreate Date12/23/2003 ContractorSOPER PLUMBINGCategoryPlan 411 - Residential-Water Heaters Bathtub0Shower0Ejector/Grind0Dip Well0F Prep Sink0Gar Drain0 Whirlpool0Floor Drain0Water Softner0Drink Ftn0Serv Sink00 Soda Disp Lavatory00Local Waste0Wait. St.0Shamp Sink00 Lndry TrayCoffee Maker Toilet00Clothes Wshr0Ice Chest0Flr/Wst Sink0 0 Lndry Stndp Int Grease Trap Res. Sink00Bidet0Exam Sink0Catch Basin0 Disposal0 Ext Grease Trap Bar Sink000Wash Ftn0 Beer Tap0Sculry Sink Dishwasher RPZ Valve0 Water Heater100Urinal0 Sump PumpDent. Oper.0Hand Sink 0 Eye Wash Statn Site Drain000Standp Rec0 Classrm SinkLab Sink0Plaster Sink Roof Drain000Ice Maker0 Breakrm SinkSterilizer0Surgeons Sink Use/Nature SFR/ Replace gas water heater. of Work SizeMaterialType#Conn. Type Sanitary Sewer0 0 0 0 0 Storm Sewer0 0 0 0 0 Water Service0 0 0 0 0 $0.00Permit Voided Valuation$500.00Plan ApprovalPermit Fees$20.00 Issued ByDate12/23/2003 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. Date Signature Agent/Owner Address2225 BURNWOOD DROshkoshWI54902-0000Telephone Number426-2151 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 POBox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 ~ OfHKOfH ON THE WATER 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 whicli 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 $100.00 plus the normal permit fee, which ever is greater. OR If vou are a contractor varticivatinf! in the Permit Fee Account Svstem and have adequate funds. check here if vou want this processed through vour account n Job Address 'I .,;:-~ ~~-. Value (Including labor and materials) .:$".00. -DtI!:1 Date /.;(-.72 -~ 3 Owner 1~7Ly /3~-'I/JIIV~ ,,/' Contractor DSingle Family DDuplex DMulti-Family s~ ~"~_/~Nt:' ~Rental DCommercial DIndustrial Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater ~ % Gas 0 Elect 0 PwrVnt Shower Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Lndry Standp Dent. Oper. Shamp Sink Disposal Dip Well Flr/Wst Sink Dishwasher DrinkFtn Catch Basin Sump Pump WaiLSt. Wash Ftn Ejector/Grind Ice Chest Urinal Water Softner Exam Sink Gar Drain Local Waste Sculry Sink Soda Disp Clothes Wshr Hand Sink Coffee Maker Bidet F Prep Sink Ice Maker Beer Tap Serv Sink Site Drain Classrm Sink Int Grease Trap Roof Drain Surgeons Sink Ext Grease Trap Standp Rec Breakrm Sink R.P.Z. Valve Eye Wash Stn Electric Contractor OR DElectric Installation Verification form attached (If Replacement) Use I Nature of Work /2~4i1.e.H~""" ::r- Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service 7/03