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Home My WebLink About0145232-Plumbing (water heater) a CITY OF OSHKOSH No 145232 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1220 JEFFERSON ST Owner ROY UMICHELE K SCHUESSLER Create Date 03/23/2011 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 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 water heater. EIV signed by Bell Electric. * *debit acct of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 1506750000 Valuation $1,600.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided Issued By lt,,rf/ Date 03/23/2011 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. /23/2011 WED 8:41 FAX 920 733 2713 Watters Plumbing 10001 /on City of Oshkosh l � Inspection Services Division ( \\ \ SS v l ® P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236 -5050 Fax: (920) 236 -5084 O./HKOf 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 -1 128. 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 ou are a contractor , artici , atin in the Perm•'t ee Account S stem and have ade•uate unds 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. $ \ / Job Address 1 1 "Se.� ei/S be Value (Including labor and materials) I t � W . (1) Date O ner M l (',hR,Q� /1 ty bi--. Contractor ki ki �- el U v 1 i Single Family DDuplex DMulti-Family DRental DCommercial ❑Industrial 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 Garage FD Surgeons Sink Waitrs Stn Kit Sink Local Waste Sterilizer Ice Chest Disposal Bar Sink RPZ Valve Comm Ice Maker Dishwasher Breakrm Sink Bidet Int Grease Trap Floor Drain Classrm Sink Urinal Ext Grease Trap Hose Bibb Exam Sink Beer Tap Eye Wash Stn Water Heater 1 F Prep Sink Dipper Well Deduct Meter 0 Gas 0 Elect 0 PwrVnt Floor Sink Drink Fntn Wtr Sewer Mtr Clothes Wshr Hand Sink Wash Fntn Wtr Usage Mtr Lndry Tray Lab Sink Catch Basin Misc Fixtures Electric Contractor (for projects not requiring an EIV Form) �t c t c 4. Use / Nature of Work 1■.\ '\ \k -r L Q to,,,_ M i. viA Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service 06/09 Received Time Mar. 23. 2011 8:33AM No. 5031 /23/2011 WED 8:44 FAX 920 733 2713 Watters Plumbing 2001/001 Feb 09 04 12:O1p Oshkosh inspections 920 - 236 - 5084 p•1 City ofoshkosk Division of inspection Service 215 Church ,Avenue PO Dos 1130 Oshkosh WI 54903 -1130 Olga 930 - 236 -5050 r ii �re mn Pax 930-236-5084 • Electric installation Verification I (We) JEU- Zlc.. /,tlC. (Electrical Contractor Name) S° 3 1' t ),41 4 `in f A4,11-fm w 1 (sue c (Address) (City) l (State) (Zip Code) have been contracted to perform electric installation work for Vt ,nyP,its K. w`, ST; ` (Name of party contracted to) 1 f at the following address: 1270 - `IMaGd (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 . The value of this work is $ a? "" 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. ( 7.--'4 / (Signature o Company Officer) (Print Name of Officer) (Date) 5/02 Received Time Mar. 23. 2011 8:36AM No. 5033