HomeMy WebLinkAbout0145535-Plumbing (water heater) t i. 1 CITY OF OSHKOSH No 145535
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2163 2165 WISCONSIN ST Owner SIDNEY /CHARLOTT B RICHMAN REV TRUST Create Date 04/19/2011
Contractor LUDWIG'S 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 FIrIWst 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 Duplex (2163) / Replace gas water heater. **debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1220870000
Valuation $700.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By Date 04/19/2011
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
tY 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 1903 ASHLAND AVE OSHKOSH WI 54901 - 2303 Telephone Number 231 -5770
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.
PLUMBING PERMIT APPLICATION Page 1 of 2
Stephenson, Ann M.
From: PLUMBING PERMIT APPLICATION [ Permit _App_Plumbing @ci.oshkosh.wi.us]
Sent: Tuesday, April 19, 2011 8:35 AM
To: Inspections, Inspections
Subject: PLUMBING Permit Application
PLUMBING PERMIT APPLICATION
Date:4 /19/2011 8:35:22 AM
Permit Fee Account YES
System:
em:
Job Address: 2163 Wisconsin
Owner: Richman
Contractor: Ludwig's Plumbing
Use Category: Duplex
p
FIXTURES
Pum
• Plaster Roof
Bathtub: Sump P• Sink: Drain:
San. Scullery e Soda
Shower: �'
Sump/Pump: Sink:
p p: Disp:
Whirl ool• Water Service Coffee
P
Softener: Sink: Mkr:
Standpipe e
Sham Site
Lavatory: P
Rec: Sink: Drain:
Toilet: Garage FD: Surgeons Waitrs
Sink: Stn:
Kit Sink: Local Waste: Sterilizer: Ice
Chest:
Disposal: Bar Sink:
RPZ Comm
Dis
P Ice
Valve:
Maker:
Breakrm Int
Dishwasher: Sink: Bidet: Grease
Trap:
Ext
Floor Classrm Urinal: Grease
Drain: Sink:
Trap:
Beer Eye
Hose Bibb: Exam Sink: Wash
Tap: Stn:
4/19/2011
PLUMBING PERMIT APPLICATION Page 2 of 2
Water Dipper er Deduct
one F Prep Sink. .
Heater: Well: Meter:
Gas Floor Sink:
Drink Wtr
Fntn:
ntn:
Mtr:
Clothes
Wash
Wtr
Hand Sink: Usage
Wshr: Fntn: g
Mtr:
Lndry Lab Sink: Catch Misc
Tray:
Basin:
Y' Fixtures:
*USE / NATURE OF WORK Replace leaky water heater
*VALUE 700
ELECTRIC CONTRACTOR
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
4/19/2011