HomeMy WebLinkAbout152518 - Plumbing (water heater) CITY OF OSHKOSH No 152518
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER Create Date 09/21/2012
Owner MICHAEL G SPAETH _
Job Address 1019 DOVE ST _ _ — -- -- Plan
Category 411 -Residential-Water Heaters Contractor DENNEE PLUMBING LLC— — — -- ---—
Inspector Jerry Fabisch _----_ Deduct Meters
Bathtub Clothes Wshr Classrm Sink Surgeons Sink Roof Drain Deduct ct Me ers
Exam Sink Sterilizer Soda Disp Wtr
Shower Lndry Tray —_— -- Wtr Usage Mtrs Mtrs
F Prep Sink RPZ Valve Coffee Maker g
Whirlpool Sump Pump — — Misc.Site Drain — _
San Sump/Pump FlrlWst Sink Bidet Misc.
Lavatory _-- Urinal Wait.St ---.Fixtures
Toilet Water Softner Hand Sink ---
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
Sery Sink Wash Ftn Ext Grease Trap
Floor Drain Bar Sink Sink Shamp Sink Catch Basin Eye Wash Statn
Breakrm Sin y —
Hose Bibb --- --
Water Heater 1
Use/Nature I FR/REPLACE GAS WATER HEATER "check#1258
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1601990000
$0.00 Permit Fees $25.00 ❑ Permit Voided
Valuation $67 .00 Plan Approval — Date 09/21/2012
5Y-n Issued By
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.
Date
Signature
Agent/Owner
Address 3512 CHRISTOPER CT APPLETON WI 54915 -0000 Telephone Number 920-475-6595
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit e Number,Type
phof
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Nam
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
Ofr
Inspection Services Division
PO Box 1130
Oshkosh,WI 54903-1130
Phone:(920)236-5050
Fax:(920)236-5084 (' (F-K011 1
Plumbing Permit 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 permits)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,signed by the Electrical
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 101 1 Ov ei S \' Value(Including labor and materials LP 7,J •vU Date 9 7/0°Q
Owner fA f∎C_, SgAe.‘'\(\ Contractor )CY1 SA ' P I br i h.,. . C •
76ingle Family ['Duplex ['Multi-Family DRental []Commer E ,; i,� l
/ED'a6911
Number of Fixtures:
SEP 21 2012
Bathtub Sump Pump Plaster Sink Roof Drain
Shower San.Sump/Pump Scullery Sink Sokai i MEN'i OF
Whirlpool Water Softener Service Sink CO INSPE I1JcN' (�F\!F!_OPMENT
Lavatory Standpipe Rec Shamp Sink Site Drain Er<Vl; u DIVISION
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 Classnn Sink Urinal Ext Grease Trap
Hose Bibb Exam Sink Beer Tap Eye Wash Stn
Water Heater )( F Prep Sink Dipper Well Deduct Meter
*Gas C Elect 0 PwrVnt Floor Sink Drink Fntn Wtr Sewer Mtr
Clothes Wshr Hand Sink Wash Fntn Wtr Usage Mtr
Lndry Tray Lab Sink Catch Basin
Miss Fixtures
Electric Contractor(for projects not requiring an EIV Form)
Use/Nature of Work
Size Material Type # Corm.Type
Sanitary Sewer
Storm Sewer
Water Service
06/09