HomeMy WebLinkAbout0152593 - Plumbing (water heater) CITY OF OSHKOSH No 152593
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 908 JACKSON ST Owner RALPH/LAUREEN HANDY Create Date 09/2.6/201.2
Contractor RAUSCH PLUMBING 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 Sump Pump F Prep Sink RPZ Valve Coffee Maker Wtr Usage Mtrs
Lavatory San Sump/Pump Flr/Wst Sink Bidet Site Drain Misc.
Toilet Water Softner Hand Sink Urinal Wait.St. Fixtures
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
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 SFR/REPLACE GAS WATER HEATER **check#27141
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1007180100
Valuation _ $ 0.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided]
Issued ByFrn Date 09/26/2012
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, STE A 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 2360505030 ow
Phone:(920)
Fax:(920)236-5084
Plumbing Permit Application
win plumbing on the premises hereinafter described,bound the by said conform to the
I hereby apply for Sa tate permit m to do and install the following P
Wisconsin State Plumbing Code,in the performance of which all parties hereto agree
Hall,Room 205 or mailed to Inspection p being doubled PO
r$100.00 1128, the
• Oshkosh and 3-112 can be Commencing to City will result in
Oshkosh WI 54903-1128. Commencing work without permit(s)
normal permit fee,which ever is greater. ec here, , _1 t
u , � , , 'v. ,de,uate nd. c
„t � • r u j au al's a C� 1 PQCtf •� !
i 'au want th• •• e e' t ' • • A r ! � - r •} �� .mil ���
31 Value(including labor and t ferule)2q
Date
Job Address -j • �'' ` t �` �/l� _
i Contractor Industrial
Owner � i �� , - Commercial ❑
Sin le Family ❑Duplex (]Multi-Family ❑Rental ❑
g
Number of Fixtures: Catch Basin
Drink Ftn —
Disposal Wash Ftn
Bathtub Watt.St. Urinal
Whirlpool Dishwasher
Ice Chest
Sump Pump Gar Drain
Lavatory Exam Sink
Toilet Ejector/Grind x
Res Soda Disp
Sculry Sink
.Sink Water Soflner Hand Sink Coffee Maker
Bar Sink Local Waste Comm.Ice Maker
F Prep Sink
Water Heater Clothes Wshr Site Drain
Bidet Sery Sink _
Gas❑Elect❑PwrVnt Roof Drain
Int Grease Trap
Shower Beer Tap Standp Rec
Classrm Sink Ext Grease Trap
Floor Drain Eye Wash Stn
R.P.Z.Valve
Lndry Tray Surgeons Sink Wtr Sewer Mtrs•
Lab Sink Breakrm Sink Shame Sink
FlrlWst Sink DeducCMelers
Plaster Sink Dip Well Wtr Usage Mtrs ---
Steriliser Hose Bibs
Misr.
Fixtures
Electric Contractor OR ❑Electric Installation Verification form attach'
Of Replacement)
Use/Nature of Work ae /A - ,,--
Size
Material Type f/ Conn.Type
Sanitary Sewer
Storm Sewer
Water Service 1?