HomeMy WebLinkAbout0152263 - Plumbing (water heater) CITY OF OSHKOSH No 152263
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 106 W IRVING AVE Owner PINE APARTMENTS III LLC
Contractor C SWEETING PLUMBING LLC Category Create Date 09/11/2012
tegory 411 -Residential-Water Heaters Plan
Inspector Jerry Fabisch
Bathtub Clothes Wshr Classrm Sink Surgeons Sink Roof Drain
Shower Lndry Tray Exam Sink Sterilizer Deduct Meters
Soda Disp
Whirlpool P _ Wtr Sewer Mtrs
P — Sump Pump ___ F Prep Sink RPZ Valve Coffee Maker Wtr Lavatory San Sump/Pump Flr/Wst Sink Misc.
Usage Mtrs
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
Water Heater 1 Eye Wash Statn
Use/Nature DUPLEX(UPPER)/REPLACE GAS WATER HEATER **debit acct
of Work
L__
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1004460000
Valuation $700.0❑Plan Approval _ _ $0.00 Permit Fees
�y, Y1 $25.00 ❑ Permit Voided
Issued By
Date 09/11/2012
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 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 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
W7
Oshkosh, WI 54903-1130
Phone: (920)236-5050
Fax:(920)236-5084
0/HKO/H
Plumbing Permit Application ON THE WATER
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 vim% y ;y
54903-1128. Commencing work without permit(s)will result in fees being doubled or$1 O. i M 1.,;.. > b ' • i, ch
ever is greater. p
OR SEP 0 7 2012
If you are a contractor participating in the Permit Fee Account System and have a te,-,{,"�t nd check here
if you want this processed through your account ( ? E {. LOP
COMMUNITY DEVELOPMENT
Advisory-For applicable projects, an Electrical Installation Verification(Ely)form,O signed y t the Electrical
SI
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
Job Address t,/ P.. ./ °?-- Value (Including labor and materials) -2� Date 'I-/ Z
Owner /r"r Co (4-T X^r, Contractor -5 e.4 ,.>
❑Single Family [ Duplex ['Multi-Family ❑Rental
❑Commercial ❑Industrial
Number of Fixtures: Vl /0/c,'
Bathtub Sump Pump
Plaster Sink Roof Drain
Shower San.Sump/Pump
Scullery Sink Soda Dis
Whirlpool Water Softener Service Sink p
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
Hose Bibb Exam Sink Beer Tap
Eye Wash Stn
Water Heater r F Prep Sink Dipper Well
' Gas❑Elect❑PwrVnt Deduct Meter
Floor Sink Drink Fntn
Clothes Wshr Hand Sink Wtr Sewer Mtr
Lndry Tray Wash Fntn Wtr Usage Mtr
Lab Sink Catch Basin
Misc Fixtures
Electric Contractor(for projects not requiring an EIV Form) °---r"
Use/Nature of Work g..o70.-4.� iZ
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
06/09