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Home My WebLink About131623-Plumbing (water heater)OSHKOSH ON THE WATER Job Address 113 W MURDOCK AVE Contractor THOMAS PLUMBING Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Valuation Issued By CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Owner THOMAS L GERTH Category 441 -Industrial-Water Heaters _ 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 No 131623 Create Date 07/17/2008 Plan Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Date 07/17/2008 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 Address 849 VINE ST Agent/Owner OSHKOSH WI 54901 - 3665 Telephone Number 232-0094 ~ v scneauie inspections please call the Inspection Request lime 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. $600 0 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 O1HK0 H 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 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 you are a contractor Darticinating in the Permit Fee Account Svstem and have adequate funds check here if you want this processed through vour account n ** Advisory -For applicable projects, an Electrical Installation Verification (EIV) 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 ~ ~ ~ Lu . µt,r-~C (z Value (Including labor and materials) ~ 0~~, ~ Date ~ ~' r Owner (Bh1 h¢.YT ~ Contractor ~ t1.~, ^Single Family ^Duplex ^Multi-Family [~~Rental ^Commercial ^Industrial Number of Fixtures: Bathtub Disposal Whirlpool Dishwasher Lavatory Sump Pump Toilet Ejector/Grind Res. Sink Water Softner Bar Sink Local Waste Water Heater ~ Clothes Wshr ^ Gas f~ Elect O PwrVnt Bidet Shower Beer Tap Floor Drain Classrrn Sink Lndry Tray Surgeons Sink Lab Sink Breakrm Sink Plaster Sink Dip Well Sterilizer Hose Bibs Misc. Fixtures Drink Ftn Catch Basin Wait. St. Wash Ftn Ice Chest Urinal Exam Sink Gar Drain Sculry Sink Soda Disp Hand Sink Coffee Maker F Prep Sink Comm. Ice Maker Serv Sink Site Drain Int Grease Trap Roof Drain Ext Grease Trap Standp Rec R.P.Z. Valve Eye Wash Stn Shamp Sink Wtr Sewer Mtrs Flr/Wst Sink Deduct Meters Wtr Usage Mtrs Electric Contractor (for projects not requiring an EIV Form) ~p ~ 0.r Use /Nature of Work w~y- ~,~,~rt-~-- Size Material Type # Conn. Type Sanitary Sewer '. Storm Sewer Water Service I, o~/o~ City ofOslilcosh Division of Irupection Services 215 Church Avenue PO Box 1130 Oshkosh WI 54903-1 130 O~ Office 920-236-5050 ON THE W/~TER Fax 920-236-5084 Electric Installation Verification I (We) L L (Electrical Contractor Name or Homeowner's Name) ~~~ ~~,ks~„ s ~ ~~1~~~ ~L ~t19~1 (Address) (City) (State) (Zip Code) accept the responsibility to perform the electric work as stated below, at the following address: I (S Gy - Mu~~ k. , O s~ ~s !n , Gy~- d:s~ ~>uw~ (Address where work will be performed) The nature of the work consists of: (Check One or Describe the Nature of Work) Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser. _~ Reconnection or new circuit for replacement Electric Water Heater or power vented water heater. Reconnection of 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 permit. Reconnection or new circuit for the replacement of other permanently wired appliances /fixtures. New circuit for the addition of A/C to an individual dwelling unit, including required 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 The value of this work is $-~~~ °. ~ I hereby verify this work will be performed in compliance with the License requirements 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 requirements. .T~, e~C~ (Signa re of ompany Officer or Homeowner) (Print Name) ~ ~ ~~-~S (Date) .~T,~s. 07/07