HomeMy WebLinkAbout0152639 -Plumbing (water heater) CITY OF OSHKOSH
OSHKOSH No 152639
PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 121 W 14TH AVE Owner JARED E/KORTNEY M PICKER
Contractor C SWEETING PLUMBING LLC Create Date 09/27/2012
Category 411 -Residential-Water Heaters
Plan
Inspector Jerry Fabisch ----
Bathtub Clothes Wshr Classrm Sink
Bathtub
Surgeons Sink Roof Drain
Lndry Tray Exam Sink -- - Deduct Meters
Whirlpool Sterilizer Soda Disp Pump F Prep Sink RPZ Valve p Wtr Sewer Mtrs
Lavatory San Sump/Pump FIr/Wst Sink Coffee Maker Misc.
Usage Mtrs
Toilet Bidet Site Drain
Water Softner Hand Sink Fixtures
u.
Kit Sink --- _.--_- Urinal Wait,St. Fixtures
Standp Rec
Lab Sink __ Beer Tap - -
Disposal P Ice Chest
p Gar Drain Plaster Sink — —
Dishwasher Dip Well Comm Ice Maker
Local Waste Sculry Sink Drink Ftn
Floor Drain Bar Sink ---- _._ Int Grease Trap
---- _ Sery Sink Wash Ftn Ext Grease Trap
Hose Bibb Breakrm Sink Sham Sink
Water Heater 1 p Catch Basin _—Eye Wash Statn
Use/Nature ;SFR/replace water heater
of Work
i
Size
Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
Valuation $800.00 Plan Approval 0304370000
-_ pproval _ __$0.00 Permit Fees $25.00 ❑ Permit Voided)
Issued By - —__.--
Date 09/27/2012_
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), p
Number. Unless specified otherwise,we will assume the project is ready at the time the request is�received. Work may
ne
continue if the inspection is not performed within two business days from the time the project is ready.
-.-........-... .
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920)236-5050
Fax: (920)236-5084
DlH KO
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
I ou are a contractor sartici,atinf in the Permit Fee Account S stem and have adesuate unds check here
i ou want this 'rocessed throu.h our account le
**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 2-1 /Y 7; � rt
Value(Including labor and materials) €' . (,C 7—L
Owner SQ r•41 Date 5---1 Z
�``G Y« Contractor
Single Family ODuplex ❑Multi-Family ❑Rental ['Commercial ❑Industrial
Number of Fixtures:
Bathtub Sump Pump
Shower San.Sump/Pump Plaster Sink
Roof Drain
Whirlpool Scullery Sink Soda Disp
Water Softener Service Sink
Lavatory Standpipe Rec Coffee Mkr
Toilet Shamp Sink
Site Drain
Garage FD
Kit Sink Surgeons Sink Waitrs Stn
Local Waste
Sterilizer Ice Chest
Disposal Bar Sink
RPZ Valve Comm Ice Maker
Dishwasher Breaknn Sink
Bidet Int Grease Trap
Floor Drain Classrm Sink
Urinal Ext Grease Trap
Hose Bibb Exam Sink
Beer Tap
Water Heater F Prep Sink Eye Wash Stn
Gas❑Elect❑PwrVnt Dipper Well Deduct Meter
Floor Sink Drink Fntn
Clothes Wshr Hand Sink Wtr Sewer Mtr
Lndry Tray
Lab Sink Wash Fntn
Wtr Usage Mtr
Catch Basin Misc Fixtures
Electric Contractor(for projects not requiring an EIV Form)
Use/Nature of Work . . ly ti ' T2
Size Material Type #
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
06/09