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Home My WebLink About0145771-Plumbing (water heater) 4 IC* CITY OF OSHKOSH No 145771 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1604 W 5TH AVE Owner MR/MRS WILLIAM A RUEDINGER SR Create Date 05/06/2011 Contractor JIM'S PLUMBING & HEATING INC Category 411 - Residential -Water Heaters Plan Inspector Paul Wolf 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 GAS WATER HEATER * *debit acct of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 0611380000 Valuation $600.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided Issued By1ir" Date 05/06/2011 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 W6166 GREENVILLE DR GREENVILLE WI 54942 - 9676 Telephone Number 920 - 757 -5258 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. 05/05/2011 16:00 FAX 920 757 6482 JIM'S PLUMBING a001/001 City of Oshkosh - Inspection Services Division - Plumbing Permit Application Page 1 of 1 DWI6:so of InrpacmIon S•Merr CITY OF 215 Chorea Avenue 4)0./HKOJH F �(9j0 035.5084 ON THE WATER anon. (920) 236.5050 PLUMBING PERMIT APPLICATION All information with • next to It must be provided. incomplete applications will not be processed, l 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 marled to Inspection Services, PO Box 1128, Oshkosh WI 59903.1128, Commenting work without permlt(s) will result In fees being doubled or $100.00 plus the normal permit fee, which ever Is greater. i ILY2kdrStaLg4atractor earfightel)ng In the Perm(t Fee Ayspy{pt.;iystam en AQ41189io.FgD9F,_!y @.R YES you S of ywsne thb u oroeeed throh y uoour eccetint •• Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical Contractor or Homeowner (for Installations allowed to b by (Inc homeowner) must be submitted with the permit application, Applications will not be processed for Permit Issuance and will be returned for completion, e performed ons submitted without an EXV when such Is required •20BADDRESS! / .3_ y Gv .OWNER! ./3 et /44 e- ..... . ... • CONTRACTORI /ys !=a L ie • • "VALUE! J *USE CATEGORY r Single Family r Duplex r Hulti Family r Rental r Commercial r Industrial Bathtub F Sump Pomp r ---- Plaster Sink I Roof Drain I--- Shower 1— San. sump/pump I— Sarllery Sink t�-� Whirlpool l — f .... � Soda OISP I Water Softener I_ Service Sink l�'� Lavatory I � Standpipe Rec 17-7 r Sit i nr (�— 7-7. Shamp Sink I Site Drain r� Toilet Garage FD 1 • r' � Sur Sink I wanrs stn r" - Kit Sink 1 - Local Waste I — _. r— Sterilizer I ice Chest r---7 Disposal -- Bar Sink r— I RPZ Valve 1 Comm Ice Maker 1--V Dishwasher I— j Breakrm Sink 1 — Bidet I--�— Floor Drain 1 � I Int Grease Trap I massrm Sink — Urinal ( — Hose Brbb 1 T Exam Sink [ T Eye Wash Stn I r — I Beer Tap I� Eye Wash Stn I-- Water Heater [ - F Prep Sink I Dipper Well f V l�L l I : Deduct Hater as r Electric r Pwr tint Floor Sink f - - Drink onto �— !!�� 1---7 1 . .. � Wtr sewer Mar 1 Clothes wshr Hand Sink r— i-- �� I Wash Fntn r --- Wtr Usepe Mtr �— Lndry Tray I Lab Sink -- I CatCatch r Basin 1 Mist Fixtures i r — •USE / NATURE OF WORK J . "VALUE (Including labor and all materials Including light fixtures) i I 1 ELECTRIC CONTRACTOR (for projects not requiring an EIV Form) 1 Size Material 1 Type s Conn. Type • Sanitary Sewer 1 1 1 Storm Sewer 1 1 1 ! ! Water Service I 1 1 :9 : ReseN Received Time May. 5, 2011 3:32PM No. 5554