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Home My WebLink About0144729-Plumbing (water heater) #14 CITY OF OSHKOSH No 144729 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 2189 W 9TH AVE Owner GEORGE JR/GRACE /GEORGE SR/FRANC BAL Create Date 01/24/2011 Contractor WATTERS PLUMBING Category 411 - Residential -Water Heaters 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 FIr/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 Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn Water Heater 1 Use /Nature SFR / Replace power vent water heater. EIV signed by Bell Electric. *"debit acct of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 1311890000 Valuation $1,300.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided Issued By OV19( Date 01/24/2011 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 PO BOX 118 MENASHA WI 54952 - 0118 Telephone Number 920 - 733 -8125 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. 1 1 1 /21/2011 FRI 9:51 FAX 920 733 2713 Watters Plumbing 0001 /001 't City of Oshkosh \ \ 6 1 kL..P Inspection Services Division P Box 1130 11 .111111411111111 Oshkosh, WI 54903 -1130 Phone: (920) 236 -5050 Fax: (920) 236 -5084 O-f HKO.IH 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. Conunencing 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 participating in the Perini .Z'ee Account System and have adequate funds, check here if you want this processed through your account ** 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. q Job Address Z1 ?C �1. 9 NV, Value (Including labor and �� materials) 111301` Date I I'i-i I I I rer 6-6 y.� (3 .c - tot✓x Contractor L. P►0M , j1 -Tile, ngle Family ❑Duplex DMulti-Family ❑Rental ['Commercial ❑industrial Number of Fixtures: Bathtub Sump Pump Plaster Sink Roof Drain Shower San. Sump/Pump Scullery Sink Soda Di.p Whirlpool Water Softener Service Sink Coffee Mkr Lavatory Standpipe !tee Sbamp Sink Site Dram Toilet Garage FD Surgeons Sink Waitrs Sin Kit Sink Local Waste Sterilizer Ice Chest Disposal Bar Sink RPZ Valve Comm Ice Maker .. - Dishwasher Brcakrm Sink Bidet Int Grcaae Trap Floor Drain C'Inssrm Sink Urinal Ext Grease Trap Hose Bibb T Exam Sink Beer Tap Eye Wash Sin Wale' Heater 1 F Prep Sink Dipper Well Deduct Meter _: Gas EIec Floor Sink Drink Fain Wtr Sewer Mir Clothes Wshr Hand Sink Wash Fntn Wtr Usage Mtr Lndry Tray Lab Sink Catch Basin Mise Fixtures Electric Contractor (for projects not requiring an E1V Form) ().Q. a. (.-11.-(11A-C-. Use / Nature of Work 'V.P Q p. .p LO„CILQL& k - Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Received Time Jan. 21. 2011 8:43AM No. 4448 ill /24/2011 HON 10:34 FAX 920 733 2713 Watters Plumbing 1001/001 Feb 09 04 12:O1p Oshkosh Inspections 920 - 236 -5084 p•1 0 City ofOshkosh Div of inspection Services 215 Church Avenue PO Box 1130 Oshkosh WI 54903 -1130 Office 920 - 236 -5050 v iM wn Pox 920 - 236.5084 Electric Installation Verification R . . l (We) &Z 7ZLc.., tAJ _ . (Electrical Contractor Name) 13 e i'1'/4i.. / 6 `ifs` -91 it )f SY7S -2 (Address) (City) (State) (Zip Code) / have been contracted to perform electric installation work for ( eti tit' S AAd liAT6 , �J (Name of party contracted to) at the following address: ��8 Jc/ 9 4VV• (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 (house or the individual systems in a duplex or condominium), including required service electrical outlets. Other . ou The value of this work is $ gPoZJ - . 1 hereby verify this work will be performed by an employee of this company and further verify the reconnection / installation will be done in compliance with manufacturer and Electric code requirements. X .---- Pe ' c/i 6?,/, (Sis*nature of Company Officer) (Print Name of Officer) (Date) 5/02 Received Time Jan. 24. 2011 9:26AM N o.4464