HomeMy WebLinkAbout0152117 - Plumbing (pwr vent heater) (<:iD CITY OF OSHKOSH No 152117
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1942 MICHIGAN ST Owner TERRY GRUNWALD ETAL Create Date 09/05/2012
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 Flr/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 POWER VENT WATER HEATER '"check#27076
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1409850000
Valuation $220.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By .5+ l ij Date 09/05/2012
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 � -,I �`�
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ppBox1130 0
Oshkosh,WI 54903-1130
Phone:(920)236-5050
Fax:(920)236-5084
Plumbing Pernit Application
the premises hereinafter described,Ulnd by said statutes.
to the
plumbing on th p na to
performance of which all parties hereto agree apply for a permit to do and install the following p PO Box 1128,
I hereby pp Y Code,in the p plus the
Wisconsin State Plumbing 205 or mailed to Inspection Services,
ht to City Hall,Room will result in fees being doubled or Box 1128,
P
• pphkosh Application(s)and fee(s)can be meng
Commencing work without permit(s)Oshkosh WI 54903-1128. r • c ec here
normal permit fee,which ever is greater.
ave ads�uate
OR • ,t
„ is , 't', ' ' I ��
a co wad, � . a[ au are .S e, , , • • �
{ you �rarrt t 's ��)0 D Date
u� `` ,� Svatue(Including labor and materials) /�
Job Address �:i Contractor Industrial
C �� �' Rental ['Commercial ❑
Owner DMu1ti-Family ❑
[ 15ingle Family
Duplex �.:
Catch Basin
Number of Fixtures: Drink Ftn Catch
Ftn Bathtub Wait.St. Urinal ----
Whirlp Dishwasher '—'-
Iee Chest -� Gar Drain
Lavatory Sump Pump
Toilet Exam Sink Soda rain
Ejector/Grind — Sculry Sink --'-
Toilet _ Coffee Maker
Water Softner Hand Sink • ——
Res.Sink Comm.Ice Maker
Local Waste F Prep Sink Site Drain
Bar Sink Clothes Wshr —
Sh Shower Sery Sink Roof Drain
❑Gas 0 ElectwrVnt Bidel Int Grease Tree
Beer Tap Standp Drain
Sl»wet Ext Grease Trap Eye Wash Stn
Floor Drain Classrm Sink R P.Z.Valve
Sur eons Sink ----- Wtr Sewer Mtrs
Lndry Tray B Shamp Sink __
Breakrm Sink — Deduct Meters
Lab Sink F1r/Wst Sink --- Usage Meters
Plaster Sink pip a Bibs
Wtr UtM
Sterilizer Hose Bibs
Misc. attach
Fixtures
OR ❑Electric Installation Verification form
of Replacement)
Electric Contractor � �� � �,
c
Use!Nature of Work Conn.Type
Size Material
Type 0
Sanitary Sewer
Storm Sewer
Water Service