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Home My WebLink About0152558 - Plumbing (water heater) CITY OF OSHKOSH No 152558 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1922 OHIO ST Owner BRIAN J OLSON Create Date 09/25/2012 Contractor RAUSCH PLUMBING Category 413-Res-Interior(Replacement Fixtures) Plan Inspector Jerry Fabisch --—— Bathtub Clothes Wshr Classrm Sink Shower Surgeons Sink Roof Drain Deduct Meters Lndry Tray Exam Sink Sterilizer — Whirlpool Sump Pump — — Soda Disp Wtr Sewer Mtrs P p F Prep Sink RPZ Valve Coffee Maker Lavatory San Sump/Pump Flr/Wst Sink W Usage Mtrs Bidet Site Drain Miss c. Toilet Water Softner Hand Sink — Kit Sink Urinal Wait.St. Fixtures --_ Standp Rec Lab Sink Beer Ta Disposal Gar Drain Tap Ice Chest Plaster Sink _ Dip Well Comm Ice Maker Dishwasher 0 Local Waste Scul Sink ---- rY Drink Ftn Int Grease Trap Floor Drain Bar Sink Sery Sink Wash Ftn Ext Grease Trap Hose Bibb Breakrm Sink Sham Sink P Catch Basin Eye Wash Statn Water Heater 1 Use/Nature SFR/REPLACE GAS WATER HEATER **check#27130 of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1409500000 Valuation $220 00 Plan Approval _ $0.00 Permit Fees ^n $25.00 Permit Voided Issued By � )y,1 Date 09/25/2012___ 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, STEA 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 PO Box 1130 Oshkosh,WI 54903-1130 M-i;1=°- Phone: (920)236-5050 n Fax:(920)236-5084 Plumbing Permit Application install the following plumbing on the premises hereinafter described,the work said to statutes. sm to the I hereby apply for State m to in and performance of which all parties hereto agree to and are bound by Wisconsin State Plumbing Code,in the p riledlt in fees being doubled or Box 1 plus the fees can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 112 , • Oshkosh WI and fee(s) Oshkosh WI 54903-1128. Commencing work without permit(s)will normal permit fee,which ever is greater. �, c ec here OR ,t „ , t ve ads uate , , .[ • •I , - ,,. �. I ou are a co rtr,�ct• � • • • . a II'ott want I •s •r es e' • . • a ��_�_ Date (��1 1 D Value(Including labor a . , aterials)_ � Job Address _-S� �� I ,' Contractor Owner � - Commercial [Industrial Single Family ['Duplex ❑Multi-Family ❑Rental ❑ , Number of Fixtures: Drink Ftn Catch Basin Bathtub Disposal Wait.St. Wash Ftn Whirlpool Dishwasher Urinal Sump Pump Ice Chest Lavatory Sum Gar Drain Exam Sink Toilet Ejector/Grind Soda Disp Water Softner Sculry Sink Res.Sink Coffee Maker Local Waste Hand Sink Bar Sink Comm.Ice Maker Clothes Wshr F Prep Sink Water Heater Silt Drain Gas O Elect 0 PwrVnt Bidet Sery Sink - Int Grease Trap Roof Drain Shower Beer Tap Standp Rec Floor Drain Classrm Sink Ext Grease Trap Lab Sink Tray Surgeons Sink R.P.Z.Valve Eye Wash Stn Lab Sink Breakrm Sink Shame Sink Wtr Sewer Mtrs Plaster Sink Dip Well Flr/Wst Sink Deduct Meters - Wtr Usage Mtrs Sterilizer Hose Bibs Misc Fixtures Electric Contractor OR ['Electric Installation Verification form attach( (If Replacement) �� -mil] Use/Nature of Work 1 -�j • Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service 1 '_