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Home My WebLink About0152063 - Plumbing (replace water heater) CITY OF OSHKOSH No 152063 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Create Date 08/30/2012 Job Address 816 ELMWOOD AVE Owner JON RITTENHOUSE Contractor D R GLAZE PLUMBING — Category 411 -Residential-Water Heaters Plan Inspector Jerry Fabisch uct Meters Shower Lndry Tray Bathtub Clothes Wshr Classrm Sink Surgeons Sink Roof Drain DeWedSewer ers Lnd Tra Exam Sink Sterilizer Soda Disp trs Coffee Maker Wtr Usage Mtrs Whirlpool Sump Pump F Prep Sink RPZ Valve Misc. 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 Scul Sink Drink Ftn Int Grease Trap Dishwasher Local Waste ry Floor Drain Bar Sink Sery Sink Ext Grease Trap Wash Ftn Eye Wash Statn Hose Bibb Breakrm Sink Shamp Sink Catch Basin Y Water Heater 1 Use/Nature SFR/REPLACE GAS WATER HEATER **check#1183 of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 0505050000 $0.00 Permit Fees $25.00 ❑ Permit Voided ar1LA)\Valuation $825,00 Plan Approval Date 08/30/2012 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 1865 JAMES RD OSHKOSH WI 54904 -6873 Telephone Number 920-589-4014 of To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type Phone 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. City of Oshkosh Inspection Services Division P O Box 1130 4 �� "" ��``\ Oshkosh,WI 54903-1130 K�� - t " Phone:(920)236-5050 ��I k Fax. (920)236-5084 ' Plumbing Permit Application N 1 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 cvcr 5,4903-1128. is 1 I at Commencing work without permit(s)will result in fees being doubled or$100.00 plus the normal permit fee,w ever is Greater. OR which / 'you are a contractor- .artici.atin_ in the Permit Fee Account System and hav• ade,uate u nds check here 1- ou want this rocessed throw h our account "Advisory-For applicable projects, an EIectrital form, Contractor or Homeowner(for installations meowed o b p rform d by the omeowner)signed by the ittetrical with the permit application. Applications submitted without an Ely when such is required will n processed for Permit Issuance and will be returned for completion. be submitted a not be Job Address S(G � & ,ivy Value(Including labor and materials) Ow er .Sep � �uct;y' Date Single Family Contractor 1) zc C�, c r �Cr [Duplex (]Multi-Famil Y ❑Rental []Commercial Number of Fixtures: ❑Industrial t3amtub Sump Pump Plaster Sink Shower San.Sump/Pump I2oofDrain wh�rtpoot ft Scullery Sink Water Softener Soda Disp Lavatory Service Sink Standpipe Rec Coffee Mkr fnilet Shamp Sink Garage FD Site Drain K It Sink Local Waste Surgeons Sink Waitrs Stn • Disposal Bar Sink Sterilizer Ice Chest RPZ Valve DisDishwasher 8reakmt Sink Comm Ice Maker Floor Drain Bidet Classrm Sink Int Grease Trap Hose Bibb Urinal Exam Sink Est Grease Trap Wate Heater 1 Beer Tap F Prep Sink Eye Wash Stn as +Elecf(7 .v PrrVnt Dipper Well Floor Sink Deduct Meter Drink Fnt Clothes Wshr n Hand Sink Wtr Sewer Mtr l ndry Tray Wash Fntn Lab Sink Wtr Usage Mtr Catch Basin Misc Fixtures Electric Contractor(for projects not requiring an EIY Form) Use/Nature of Work ' ,tAc- r.(T. OCf 4 L GAS F. 0 g c Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service 06/09