HomeMy WebLinkAbout0152488 - Plumbing (water heater) CITY OF OSHKOSH No 152488
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1117 CHERRY ST Owner PINE APARTMENTS I LLC
Contractor C SWEETING PLUMBING LLC Create Date 09/20/2012
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 — ---
P Sump Pump F Prep Sink _ RPZ Valve
--- Coffee Maker Wtr Usage Mtrs
Lavatory San Sump/Pump FINWst Sink Bidet
- — _— Site Drain Misc.
Toilet Water Softner
Hand Sink _ —
-- - Urinal Wait.St. Fixtures
Kit Sink Standp Rec — Lab Sink Beer Tap P 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 DUPLEX(LOWER)/REPLACE GAS WATER HEATER **debit acct -- -- —of Work
L -
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0503560000
Valuation f$7 0.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By v --
,y)V
Date 09/20/2012
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
Box 1
Oshkosh, WI 54903-1130
Phone: (920)236-5050
Fax: (920)236-5084
0.lHK,
ON„----,,,,
Plumbing Per mit Application
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 r. -u
I ou are a contractor ,artici.atinl in the Permit ee Account S stem and have a,e,uate �undst check here
i ou want this .rocessed throu.h our account 11
**Advisory-For applicable projects, an Electrical Installation Verification(EIV)form, signeby the
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be 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_) I i -7 7 I- ,c+
Value (Including labor and materials) 7 0°.Qc'
Date
Owner
Contractor
❑Single Family ]Duplex OMulti-Family ORental ❑Commercial ElIndustrial
Number of Fixtures: w'/
Bathtub Sump Pump
Shower
San.Sump/Pump Plaster Sink
S Roof Drain
Whirlpool Scullery Sink Soda Disp
Water Softener
Lavatory Service Sink Coffee Mkr
Standpipe Rec Shamp Sink
Toilet Garage FD Site Drain
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 Ext Grease Trap
Hose Bibb Exam Sink
Beer Tap Eye Wash Stn
Water Heater I F Prep Sink
N(Gas 0 Elect 0 PwrVnt Dipper Well Deduct Meter
Floor Sink Drink Fntn
Clothes Wshr Hand Sink Wtr Sewer Mtr
Lndry Tray Wash Fntn
Lab Sink Wtr Usage Mtr
Catch Basin Misc Fixtures
Electric Contractor (for projects not requiring an EIV Form) —
Use/Nature of Work I e-, :4, ...--/z
Size Material Type #
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
06/09