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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?