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Home My WebLink About0152392 - Plumbing (water heater) CITY OF OSHKOSH No 152392 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1265 CUMBERLAND TRL Owner QUENTIN L THOMAS Create Date 09/14/2012 Contractor QUANDT PLUMBING LLC Category 410-Residential-Interior 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 1 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 1 Breakrm Sink Shamp Sink _ Catch Basin Eye Wash Statn Water Heater 1 -- Use/Nature SFR/REPLACE HOSE BIBB AND GAS WATER HEATER AND INSTALL NEW WATER SOFTENER **check#5019 of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1312450000 Valuation $600.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided Issued By ant,—) Date 09/14/2012 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)an o secure any necessa approvals before starting such activity. Signature "� �-� Date '—/C-/—/2 Agent/Owner Address 1010 WYLDE OAK DR OSHKOSH WI 54904 -7635 Telephone Number 920-420-5185 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 Box 1 Oshkosh, WI 54903-1130 Phone: (920)236-5050 / Fax: (920)236-5084 / 01HK M 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 Services,PO Box 1128,Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the normal permit fee,which ever is greater. OR If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here if you want this processed through your account fl **Advisory-For applicable projects, an Electrical Installation Verification(EIV)form, signeby the Contractor or Homeowner(for installations allowed to be performed by the homeowner)musstbe submitted cal 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 �`o?C,S+C«�+G,: -kr f T '�- f� `/ Value (Including labor and materials) Date /'l7 '/c Owner at eLt An 'U/its Contractor > Single Family ❑Du lex t 21- 4.4.A4 `/;-1 e C P ❑Multi-Family ]Rental ['Commercial ❑Industrial Number of Fixtures: Bathtub Sump Pump Plaster Sink Roof Drain Shower San.Sump/Pump Scullery Sink Soda Disp Whirlpool Water Softener V. Service Sink Coffee Mkr Lavatory Standpipe Rec Shame Sink Site Drain Toilet Garage FD Surgeons Sink Waitrs Stn Kit Sink Local Waste Disposal Sterilizer Ice Chest Bar Sink RPZ Valve Dishwasher Breakrm Sink Comm Ice Maker Bidet Int Grease Trap Floor Drain Classrm Sink Urinal Hose Bibb ;� Ext Grease Trap Exam Sink Beer Tap Eye Wash Stn Water Heater V F Prep Sink Dipper Well /21Gas❑Elect❑PwrVnt Deduct Meter Floor Sink Drink Fntn Clothes Wshr Wtr Sewer Mtr Hand Sink Wash Fntn Lndry Tray Lab Sink Wtr Usage Mtr Catch Basin Misc Fixtures Electric Contractor (for projects not requiring an EIV Form) Use/Nature of Work Size Material Type ## Conn. Type Sanitary Sewer Storm Sewer Water Service 06/09