HomeMy WebLinkAbout0151342 - Plumbing (replace water heater) CITY OF OSHKOSH No 151343
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3132 JACKSON ST Owner JOHN J GOGIAN JR REV TRUST Create Date 07/24/2012
Contractor OGDEN PLUMBING Category 411 -Residential-Water Heaters Plan
Inspector Jerry Fabisch
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 SFR/REPLACE GAS WATER HEATER *'debit acct
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1519601803
Valuation $800.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued 27-ri--)Lj Date 07/24/2012
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 689 NEENAH WI 54957 -0689 Telephone Number 725-8985
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.
07/24/2012 06: 52 9207258984 OGDEN PLUMBING PAGE 01/01
City of Oshkosh
Inspection Services Division
(?-1)
P O Box 1130
Oshkosh,WI 54903-1130
Phone: (920)236-5050 JV
Fax: (920)236-5084 Q./--I�al-
' 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
54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the normal permit fee,which
ever is greater.
OR
if you are a contractor pgrtji,porting in the Permit ee Account System and have adequate funds, 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 3/32 r°C4J'ar+. Sit' Value(Including labor and materials) Tae Date2Z Vi/t.
Owner C?Qac( sAy eb PRee,Contractor 05`of le.... 1.7
'I Single Family ODuplex ❑Multi-Family []Rental 4Commercial []Industrial
Number of Fixtures:
Bathtub Sump Pump Plaster Sink Roof Drain
Shower San.Sump/Pump Sculicry Sink Soda Disp
Whirlpool Water Softener Service Sink Coffee Mkr
Lavatory Standpipe Rae Shamp Sink Site Drain
Toilet Garage FD Surgeons Sink Waitrs Stn
Kit Sink Local Waste Sterilizer Ice Chest
Disposal Bar Sink RFZ Valve Comm Ice Maker
Dishwasher Rreakrm Sink Bidet Int Grease Trap
Floor Than Classrtn Sink Urinal Ext Grease Trap
Hose Bibb Exam Sink Bar Tap Eye Wash Stn
Water Heater X F Prep Sink Dipper Well _ Deduct Meter
fi laa 0 Elect 0 ParVnt Floor Sink Drink Fntn Wtr Sewer Mtr
Clothes Wshr Hand Sink Wash Fntn Wtr Usage My
Lndry Tray Lab Sink Catch Basin Misc Fixtures
Electric Contractor (for projects not requiring an EIV Form)
Use/Nature of Work CHA1k1(51G k1R lilt*
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Sotvice
•
Received Time Jul. 24. 2012 6: 51AM No. 0181 06/09