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Home My WebLink About0142049-Plumbing (water heater) e i CITY OF OSHKOSH No 142049 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 3759 GLENKIRK LN Owner VACANT Create Date 07/15/2010 Contractor MOBILE HOME STUFF STORE INC Category 410 - Residential- Interior Plan Bathtub Clothes Wshr Classrm Sink Surgeons Sink Roof Drain Deduct Meters Shower Lndry Tray Exam Sink Sterilizer Soda Disp Wtr Sewer Mtrs Whirlpool Sump Pump F Prep Sink RPZ Valve Coffee Maker Wtr Usage Mtrs Lavatory San Sump /Pump Flr/Wst Sink Bidet Site Drain Misc. Toilet Water Softner Hand Sink Urinal Wait. St. Fixtures Kit Sink Standp Rec Lab Sink Beer Tap Ice Chest Disposal Gar Drain Plaster Sink Dip Well Comm Ice Maker Dishwasher Local Waste Sculry Sink Drink Ftn Int Grease Trap Floor Drain Bar Sink Sery Sink Wash Ftn Ext Grease Trap Hose Bibb 1 Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn Water Heater 1 Use /Nature SFR / Replace gas water heater and outside faucet. Repipe water distribution to bring up to current code. **debit acct of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 1278400000 Valuation $2,500.00 Plan Approval $0.00 Permit Fees $25.00 r] Permit Voided 0/ Issued By �J Date 07/15/2010 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 N7428 OSBORN WAY FOND DU LAC WI 54937 - 8903 Telephone Number (920) 923 -0098 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. 07/15/2010 08:18 9209235935 MOBILE HOME STUFF PAGE 01/02 City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903 -1130 Fax: (9200)6)236 - 50R4 236-5050 F HKOfH Fax: on Om THE WATER Plumbing Permit Application 1 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 contract• ,articiratin' in the Permit , e Account S ste and ha e ade -uale ands check here if you want t Drocessed through vour__account Tl ** 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. i b 2 0 � """' Date Job Add ress.� �.�/' � � � � /l.� Value (incl labor and mat • • ner Contractor I Y �4 ',a'l11 - a s !,: J i • LA, • a: ingle FFamiiy ['Duplex nib-Family ['Rectal ❑Commercial ❑Industrial Korot) Number of Fixtures: Bathtub Sump Pump Plaster Sink Roof Drain Shower San. Sump/Pump Scullery Sink Soda Disp Whirlpool Water Softener Service Sink Coffee Mkr Lavatory Standpipe Rec Shamp Sink Site Drain Toilet Craragc FD Surgeons Sink Waits Stn Kit Sink Local Waste Sterilizer ice Chest Disposal Bar Sink RPZ Valve Comm Ice Maker Dishwasher Brcakrm Sink Bidct Int Grease Trap Floor Drain Classrtn Sink Urinal Ext Grease Trap Rose Bibb 1 Exam Sink Beer Tap Eye Wash Stn t G r Heater F Prep Sink Dipper Well Deduct Meter Gas 0 Elect I] PverVnt Floor Sink Drink Fntn Wtr Sewer Mtr Clotho Wshr Hand Sink Wash Fntn Wtr Usage Mtr ar Lndry Tray Lab Sink Catch Basin Mist Fixtures Electric Contractor (for projects not requiring an EIV Form) ___UPc . + i Use / Nature of Work ll I .: 1 / _/_, 1 a- k - I / /L LL r S ize Mater . Type # Conn. Type ,-- Sanitary Sewer , i Storm Sewer I a ' Water Service D6 /05 Received Time Jul. 15. 2010 9:21AM No. 1943