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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