HomeMy WebLinkAbout0152271 - Plumbing (water heater) (a) CITY OF OSHKOSH No 152271
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1008 MORELAND ST Owner KEVIN O/TRACY L TEMME Create Date 09/11/2012
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 GAS WATER HEATER **check#27100
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1309110000
Valuation &T)$220.00 Plan Approval $0.00 Permit Fees $25.00 11 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 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 ''y ,I/1•
POBoXt%30 °
Oshkosh,WI 54903-1130
Phone:(920)236-5050
Fax:(920)236-5084
Plumbing Permit Application to the
P the work d to statutes.
plumbing on the premises hereinafter described,d,the by
and install the following p parties hereto agree PO Box 1128,
for a permit to do an performance of which all P ervjCes, plus the
I hereby apply Code,in the p Inspection S
Wisconsin State Plumbing Hall,Room 205 or mailed to Insp doubled or$100.00
be Commencing to work permit(s)will result in fees being
• Application(s)and fee(s)can ommencing work with°ut p here
Oshkosh WI 54903-1128.ich ever is greater.
v• ade�uate tit_ c ec permit fee, « a' =
normal P t
OR �'
cr ttl•aCt• • . , � 1 �/
on want a •.c e, i
Date
f you tt�attt tlr' 7
S-alas(including labor and materials) /
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Job Address ' /` , Contractor Industrial
• QRental OCommercial ❑/Owner ❑Duplex OMU ti-Family
�!f+Ingle Family
Catch Basin --
Number of Fixtures:
Drink Ftn Wash Ftn
Disposal Wait.St. Urinal
Whirlpool Dishwasher Ice Chest Gar Drain
Whirlpool Sump Pump Exam Sink Soda Drain
_-
Lavatory Ejector/Grins �— Sculry Sink —� Coffee Maker --
TO1let Water Softner — — Ice Maker --
Hand Sink Comm.
Res.Sink Local Waste F Prep Sink
p �— Site Drain
Liar Sink Clothes Wshr
Sery Sink Roof Drain
WA er Heater
Floor ❑Elect O PwrVnt Bidet Int Grease Trap Soot D ain —
Shower
Beer Tap Ext Grease Trap Eye Wash Stn
Lab Drain _-- —
Classrm Sink R.P.Z.Valve Wtr Sewer Mtn —
Lndry Tray Surgeons Sink Shamp Sink• Deduct Set er Mtt
Lab Sink --
Breakrm Sink Flrry�ist Sink Wtr Usage Mtrs —
Plaster Sink
Dip Well
Hose Bibs
Sterilizer �— attai
1vlisc. Verification form
Fixtures OR Electric Installation
(If Replacement) (]
Electric Contractor ■ •
G A �,0
Use I Nature of Work # Conn.Type
Size
Material Type
Sanitary Sewer
Storm Sewer
Water Service