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HomeMy WebLinkAbout0152109 - Plumbing (water heater) CITY OF OSHKOSH No 152109 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 620 W 10TH AVE Owner PAUL B SMITH Create Date 09/04/2012 Contractor D.R.HANSEN PLBG. 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 Scully 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 DUPLEX(620 W 10TH AVE UNIT A)/INSTALL GAS WATER HEATER **debit acct of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1303420000 Valuation $760.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided Issued By �C,(/ Date 09/04/2012 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 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. City vi laspectct iaa on Se rvi Seces Division F 0 Brat 1130 Oshkosh,WI 54903-1130 41) Phone:(97.0)236-5050 Fax:('920)236-5084 ON me w Plumbing Permit Application for a permit to do and install the following p� on the premises deac�r� the wurk to ecotone to the . I bare Wisconsin State Code,in-the peifettaance aft&parties beseto agree to and ate boraudby said stebates- • Applicalion(s)and R:e(s)can bo broughtto City Ilall,Boom 205 or maned totsspection Services,manedPO Bas.1128,bosh WI 54903-1128. Commencing work wb permit(s)will remain.Rxa being doubled or$100.00 plus the nasal permit fee,which ever is greater. OR d ,egaata ftz check here.Et . eeL .0 .: ' ui ,,t h... ,r,c:.. 'd h ,,r;_:;_ .- lit ore z • . ".Adviooxy-For applicable prate,anElectrical Installation Verification(EIV)fate,signedby the 'deal Contractor or Elomeown nUowcd to bcp - � �t� . with the permit application. Applications i0di processed for remit Issaaoet and wifbemammal for boa- , Po)L Vain 6 91oO. as Date Q ) H I 1 Job Address LAO LI 1001 -Owner t Contractor b. 4 . a , D ,' OSingle Family efinpiet DM.ni->amilY Ditentat ©mil e!., , , Id Number of Fiztnres Bawd) • Swap Pomp Piaster Si k R1DO fn Shower Stet San SoiaDisp Water Stevie;Side Cofiho Mir Lavatory Stamp Sick Mel :twin$ t Tlot Game� s„r�orxSi k Wr Sax Iry Chan Kit Sink Local Sterilizer Disposal seer Sisk RPZ Vatre �t�r Dream Sick Bidet ..—. Fetches=Dap Dt�seest BR(i110abl1tiap Mimi FloarAta9n Clssam►980c Bar Tap p F P Spa Wait Sin�tep Dipper WaN Meeer Gaga Elect OPwrYnt Floor Sink - Disk Dan .— .:•Var Sewer her Q o�hoac vi►sUc Hurd Sink . _ Loft raU Sint - Basin ivy� Electric Contractor(far projects not requiring an Efir Form). Use I Nature of Work r5 ,_l (4 LLD�* • - Sin Material Type # .. - Com Type .. Sanitary Sewer Storm Sower Water Service 06/09 Received Time Sep. 4. 2012 7: 08AM No. 0693