HomeMy WebLinkAbout2012-Plumbing (replace water hearter) CITY OF OSHKOSH No 151718
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER Create Date 08/08/2012
Job Address 1429 1431 W 2ND AVE _ Owner NICOLET APARTMENTS II LLC
Contractor C SWEETING PLUMBING LLC
Category 411 -Residential-Water Heaters Plan
Inspector Jerry Fabisch Deduct Meters
Bathtub Clothes Wshr Classrm Sink _ Surgeons Sink Roof Drain Deduct ct Meters
Exam Sink Sterilizer Soda Disp Wtr
Shower Lndry Tray k RPZ Valve Coffee Maker Wtr Usage Mtrs
F Prep Sink g
Whirlpool Sump Pump Site Drain Misc.
San Sump/Pump Flr/Wst Sink Bidet Fixtures
Lavatory
Toilet Water Softner Hand Sink Urinal Wait.St.
Beer Ta Ice Chest
Kit Sink Standp Rec _ Lab Sink p Comm Ice Maker
Plaster Sink Dip Well
Disposal Gar Drain ry Drink Ftn Int Grease Trap
Scul Sink
Dishwasher Local Waste —Sery Sink Wash Ftn Ext Grease Trap
Bar Sink
Floor Drain E e Wash Statn
Hose Bibb
Breakrm Sink Shamp Sink Catch Basin Y
Water Heater 1
Use/Nature IDUPLEX(1429)/LATE PERMIT/REPLACE GAS WATER HEATER **debit acct
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0611870000
$0.00 Permit Fees $125.00 ❑ Permit Voided
Valuation $750.00' Plan Approval Date 08/15/2012
Issued By `�`
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.
Date
Signature
Agent/Owner
Address 1583 COUNTRY MEADOW CT OSHKOSH WI 54904 -9316 Telephone Number 920-410-4017
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit e andyphof
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),y our Name
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.
5.-e-Crr Is `'« fi- -r--1,.=) «--z r" is rTh
City of Oshkosh 2002- RECE1V � 001.,Inspection Services Division "�7 Ir
PO Box 1130
Oshkosh,WI 54903-1130 AUG 1 5 201
Phone: (920)236-5050 �JI I1 Fax: (920)236-5084 pEPr~RTMENT F WATER
�� � �{�Y DEVELOPMI�I"TT
Plumbing Permit App <i�j'7`;;,-c,F ZVICES DIVISION
•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 participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account Vt1
**Advisory-For applicable projects, an Electrical Installation Verification(EIV)form, signed by the Electrical
Contractor or Homeowner(for installations submitted without formed
n EIV whenesuch is requireduw 11 not tted
with the permit application. Applicatio n
processed for Permit Issuance and will be returned for completion.
Job Address 1 'f Z ? vi/g."1 Value(Including labor and materials)
71--)v.0v Date VOA
Owner 2''r'`v/c ► ��►✓
Contractor - J `-..- - 'i-`-"',
Single Family ['Duplex ['Multi-Family ❑Rental ❑Commercial ❑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
Exam Sink
Beer Tap Eye Wash Stn
Hose Bibb Deduct Meter
Water Heater F Prep Sink Dipper Well Drink Fntn Wtr Sewer Mtr
lit Gas❑Elect❑PwrVnt Floor Sink
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) `--,
Use /Nature of Work !2`7fl cc 1-{`T R
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
06/09