HomeMy WebLinkAbout0145104-Plumbing (water heater) CITY OF OSHKOSH No 145104
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1136 MOUNT VERNON ST Owner RUTH D PROTZ Create Date 03/09/2011
Contractor D.R. HANSEN PLBG. 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 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 Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn
Water Heater 1
Use /Nature SFR / REPLACE GAS WATER HEATER **debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1003090000
Valuation $835.70 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By I5"... Date 03/09/2011
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 55 KNAPP ST OSHKOSH WI 54902 - 3448 Telephone Number 233 -1595
To schedule inspections please call the Inspection Request line at 236 -5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
03/09/2011 08:18 19202337466 DR HANSEN PLUMBING PAGE 02
City of°thi * •
la.pectien Survives Division
P O Box 1130
Oahlmah, WI 54903-1130
Phone: (920) 236 -5050 •
F.ac (920) 236 -5004
, - est
Plumbing Permit Application
I hereby apply fox a permit to do and bets 1 rho fvllowtog pbir ibb g eft the premises leweinsfter demand, the week to warm to the
Wiee000sin Sete Plambiug Code, inthe peke ofwhich ell lathes hereto agree to wed ate bound by aid Adam
• Applicatim(s) end 610 mule hum& to City MA Room 205 or medisd It inepection Services, PO Box 112S, Othirewit WI
54903 -112$. Co m work wo without peroit(s wm in fees es being doubled or 5100.00 phis the soma pie re, whir*
aver is greeter.
OR
.1 _ , r • „ i , •1_1 . • in - e ' e (ee A . t sl e. Lf,_ • _-. . ., •, J. .
If you want Mil processed throurk roger aceouzzt l
'* Addsozy - For applicsbin projects, an Blectrind Inst sihnion Verification MIV) f m, armed by the Ekddeal
Contratin r dr B Ibineowjaertforinstallationsallowedto be pogropm0ytim boseaarncOnwlt be Barba timed - •
. with rice pervert aue- Appliestiens solunkontwititoitiiiffitilithialetsinikivin nett* •
processed fur Penult Issuance and will be returned ibrcompledon.
Job Address 113 (4_1/14. . ✓�.enn n , , . Value ougaiskoterobs ammo $ ES 35 ."TO Date 11.5111
I . 4 1 h 1 aim Contractor 'D.i . Farw 1 - ?tuft UP_
C .4 Falsity tii1 OCS•merdal [
Number of Preis:
bee* Sew Pegs _ Plalw rat lteelMs
Shower Sm. smpe..p &Missysik Rini.
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Taut Cranesi:D Sageoes _ W Sim
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Thyme BrSiek RPZMews Qom Reltrlrlr
Dtiwrder B ssi=Sisk inlet ia Geese Map
Moor Dais Omens SaAe Quart REIGN= Tap
Thee Bibb Ram Sink Bear * Bp. war so
wire Maw _V____ F pAp Sink - Der Well Dei ebieSer
-hole n r0 ihrrvnt >k •
:_ S Bird S:t W�$ewa•l�
laity Trap T3 Slat Comb Bede Mee Homes
Electric Contractor (for projects not retpd rag an KW Form)
Use / Nature of Work _rr,ya e 11. • 4b Cad . (l a+'. C S 4014 13 ar• Vi of ix r
• size mania Type 1 Cosa. Type
Sanitary Sewer
stem Sewer
Water Service ,
Received Time Mar. 9. 2011 8:37AM No. 4897 06/09