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Home My WebLink About0146773-Plumbing (water heater) (a) CITY OF OSHKOSH No 146773 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1350 MARICOPA DR Owner PATRICK M NEMECEK/LISA A SPANBAUER Create Date 07/12/2011 Contractor D.R. HANSEN PLBG. Category 411 - Residential -Water Heaters Plan Inspector 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 # 1312410000 Valuation $730.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided Issued By 62/1 Date 07/12/2011 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. 07/11/2011 08:37 19202337466 DR HANSEN PLUMBING PAGE 02 City of Oshkosh Inspection Services Division PO Box 1130 Oshkosh, WI 54903 -1130 Phone: (920) 236 -5050 H Pax: (920) 236 -5084 . , pN T WATER Plumbing Permit Application 1 hereby apply for a permit to do and install the following plumbing ou 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 fax 1128, OshIcosh WI 54903 -1128. Commencing work without permit(s) will result in fees being doubled or $100.00 phis the normal permit fee, which ever is greater. OR ou are a • r tractor . ar - - • atin - 1 - Per ee Accoun tem a • h • e a • 'state . 1 d the . re if you want this Processed thro,ffh your account ** Advisory - For applicable projects, an Electrical Installation Verification (ETV) form, signed by the Electrical Contractor or Homeowner (for installations allowed to be petformed by the bomeowner) must be submitted . with the permit application. Applications submitted without an ELY when such is required, will not be processed for Permit Issuance and will be returned for completion. Job Address 135O rna>rt Co Or Value (Including labor and materials) te 30. CEO Date In 1425/ ii Owner !_ ih Contractor r t 1 1 ) Lumbl Single Family ['Duplex [NultI- Family ['Rental ['Commercial D ud Number of Fixtures: Bathtub Swnp Pump Plaster Sink RoafD sin Shower Sen. Swap/Pump Scullery Sink Soda Disp Whirlpool water Softener Service Sink Coffee Mkr Lavatory Standpipe Rec Shamp Sink Site Drain Toilet Garage FD Sinews Side waits St» Kit Sink Local Waste sue tizer Ice Chest Disposal Bar Sink RPZ valve Comm Ice Maker Dishwasher Brea Sink Bidct lut (heave Trap Floor Drain Classrm Sink Urinal Ext Grease Trap Hose Bibb Exam Side Bar Top Bye Wash Ste Water Hewer ..?"_ F Prop sink Dipper wen Deduct hider 0 Elect 0 Pwrvnt Floor sink Drink Fate Wrr Sewer Mrs Clothes w Hand sink Wise Frew Wtr Usage Mtr La&'y Tray Lab Sink Catch Basin Mac Fixtures Electric Contractor (for projects not requiring an ETV Form) Use / Nature of Work 4.0 G.,,s1 : G,.., Ho* Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Received Time Jul, 11. 2011 9:56AM No. 6302 06/09