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Home My WebLink About0130136-Plumbing (water heater)OSHKOSH ON THE WATER Job Address 835 DIVISION ST CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Owner CRYSTAL L BUSS No 130136 Create Date 05/23/2008 Contractor BLAU PLUMBING, INC. Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Valuation Issued By Category 411 -Residential-Water Heaters Plan _ Shower Water Softner Wait. St. Shamp Sink _ Floor Drain Local Waste Ice Chest FIrIWst Sink Lndry Tray Clothes Wshr Exam Sink Catch Basin _ Disposal Bidet Sculry Sink Wash Ftn _ Dishwasher Beer Tap Hand Sink Urinal _ Sump Pump Lab Sink Plaster Sink Standp Rec 1 Classrm Sink Sterilizer Surgeons Sink Ice Maker _ Breakrm Sink Dip Well F Prep Sink Gar Drain _ Ejector/Grind Drink Ftn Serv Sink Soda Disp Coffee Maker _ Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs _ _ _ Deduct Meters Wtr Usage Mtrs Date 05/23/2008 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 12221 W FAIRVIEW AVE. MILWAUKEE WI 53226 - 3849 Telephone Number 1-414-258-4040 r v scneaure rnspectrons 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 pertormed within two business days from the time the project is ready. $1,605.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920)236-5050 Fax: (920)236-5084 c-~- ~1~2 ~ zZ~ ~ ~4~ ~~z~~z~ 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 I~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 n ** Advisory -For applicable projects, an Electrical Installation Verification (E1V) form, signed by the Electrical Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted with the permit application. Applications submitted without an EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. Job Address ~ ~~j 1 tSl~ ~~ Value (Including laborand//materials) ~ ' ~b~^r~ Date ~ ~ ~ ~~ Own (' hr~(~I- ~~ Contractor I~ ~r Y YJ~ Ingle Family ^Duplex ^Multi-Family ^Rental ^Commercial ndustrial Number of Fixtures: Bathtub Disposal Drink Ftn Whirlpool Dishwasher Wait. St. Lavatory Sump Pump Ice Chest Toilet Ejector/Grind Exam Sink Res. Sink Water Softner Sculry Sink Bar Sink _ _ Local Waste Hand Sink Wate=Heater _~_ " Clothes Wshr F Prep Sink QGas G Elect 0 PwrVnt Bidet Serv Sink Shower Beer Tap Int Grease Trap Floor Drain Classrm Sink Ext Grease Trap Lndry Tray Surgeons Sink RP.Z. Valve Lab Sink Breakrm Sink Shamp Sink Plaster Sink Dip Well Flr/Wst Sink Sterilizer Hose Bibs Misc. Fixtures Electric Contractor (for projects not requiring an~~E~IV((11Form) Use /Nature of Work ~'F'Z ~(~ l~C.~u ~lt~~ ~,(~ b Catch Basin Wash Ftn Urinal Gar Drain Soda Disp Coffee Maker Comm. Ice Maker Site Drain Roof Drain Standp Rec Eye Wash Stn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service e `t ~ ~e ~~ ~, W /~ ,~; n ~ o~,o~ 05/18/2008 18:17 9202737965 K-R ELECTRIC LLC PAGE 01/01 ._H ( WATER City of Osbkoab Division of Lsspection Services 215 CbutCd Avenue PO Box 1130 Oshkosh v01 34903-1130 olixe ~zaz~e-soso pax 92o.73e-soaa Electric Xn.stallation Verification I (We) Contractor Name or Homeowner's Name) (Address) (City) (State) (Zip Code) accept the responsibility to perform the clectric work as stated below, at the following addt'ess: ~3 ~ ~~ ~ ~ (Address where work will be performed) The tlature of the work consists of: (Check One ox Describe the Nature of Work) Reconnection or new evrcuit for replacement Heating Plant and/or AJC Cozzdenser. _~ Reconnection or new circuit for replacement Electric Water Heater or power vented water heater. Reconnection o£the Service Entrance Cable, Meter Box, alterations to receptacles and lighting fixtures due to siding / soffit installation. Note: New Service Entrance Cables will require a separate parmit. Reconnection or new circuit for the replacement of other permanently wired appliances /fixtures. New circuit for the addition of ,AJC to an individual dwelling unit, including zequired service electrical outlets..Note: Homeowners can only do their own electric on a single family owner occupied home. Work on a condominium, duplex, rental, or multi-use building would require a licensed Electrical Contractor. Other ,crc+ The value of this work is $ ~~ l hereby verify this work will be performed in compliance with the License requizements of Section 11-22 of the Oshkosh Municipal code and further verify the reconnection /installation will be done in compliance with manufacturer and Electric code requirenaelats. r ~ ` (Sigma a of Company Officer or FIomcovvocr) punt Name) (Dace) 0'7/07