Loading...
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