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Home My WebLink About0151947 - Plumbing (replace gas water heater) CITY OF OSHKOSH No 151947 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1655 IOWA ST _ Owner THOMAS R REGAZZI Create Date 08/24/2012 Contractor RAUSCH 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 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 **check#27065 of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer • Water Service Parcel Id# 0908570000 Valuation $220.00 P n Approval $0.00 Permit Fees $25.00 ❑ Permit Voided Issued By Date 08/24/2012 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 1606 W HASKEL ST,STE A APPLETON WI 54914 -5032 Telephone Number 920-830-9222 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. City of Oshkosh Inspection Services Division P O Box 1130 ® • Oshkosh,WI 54903-1130 Li Phone:(920)236-5050 Fax: (920)236-5084 Plumbing Permit Application premises hereinafter described,the work to conform to the I hereby apply for Sate Plumbing m to do and de,in the following plumbing on the p said statutes. •n Code,in the performance of which all parties hereto agree to and are bound by Box 1128, Wisconsin State Plumbt g plus the be brought to City Hall,Room 205 or mailed to Inspection doubled Pr$100.00 p • Oshkosh WI and fee(s)can work without permit(s)will result in fees being Oshkosh WI 54903-1128. Commencing here normal permit fee,which ever is greater. l aVe ade,uate unds c sec OR • • nt • r n - u 't ' 1 au are a c• 'tract. • • 'c1'at'..• � ! orr want this e ed h Date f/�S Value(Including labor and materials) Job Addres , '� Contractor Industrial Owner 7 - , ,, Rental ❑Commercial ❑ Single Family ODuplex ❑Multi-Family ❑ Catch Basin Number of Fixtures: Drink Ftn Wash Ftn Disposal Whirlpool t rub Wait.St. U ashl --— Dishwasher Ice Chest --- La a Gar Drain Sump Pump Exam Sink Lavatory Soda rain Toilet Ejector/Grind Sculry Sink Water Sooner Coffee Maker Res.Sink Hand Sink Local Waste Comm.Ice Maker Bar Sink F Prep Sink �_ Clothes Wshr Site Drain Water Heater Sery Sink Gas❑Elect 0 PwrVnt Bidet Roof Drain Int Grease Trap Roof Drain Shower Beer Tap Ext Grease Trap Eye Wash Stn Floor Drain Classrm Sink R.P.Z.Valve Lndry Tray Surgeons Sink Eye Sewer Mtrs Wtr Shame Sink Lab Sink Breakrm Sink Deduct Flr/Wst Sink Plaster Sink Dip Well Wtr Usage Mtrs Sterilizer Hose Bibs Misc Fixtures OR ❑Electric Installation Verification form attache l;lect is Contractor (If Replacement) Use/Nature of Work „zi(,,) .a0 Vim. , - < ar # Conn.Type Size Material Type Sanitary Sewer Storm Sewer Water Service 11/