HomeMy WebLinkAbout0153192 - Plumbing (water heater0 CITY OF OSHKOSH No 153192
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1946 HUBBARD ST Owner GREGG J/ANNE M FRANCIS
Create Date 10/25/2012
Contractor RAUSCH PLUMBING Category 4.11 -Residential-Water Heaters Plan
Inspector Jerry Fa bisch Bathtub Clothes Wshr Classrm Sink Surgeons Sink Roof Drain
Deduct Meters
Shower Lnd Tray - - — -
ry y 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#27198
of Work _ _
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1409210000
Valuation $220.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit VoideJ
Issued By anlid Date 10/25/2012
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 0
Inspection Services Division
P0 Box 1130
Oshkosh,WI 54903-1130 oN e
Phone:(920)236-5050
Fax:(920)236-5084
Plumbing permit Application to the
plumbing on the premises hereinafter described,the by stud statutes.nf rm
permit m in and de,in the following of which all parties hereto agree
hereby apply f°rap Code,in the performance Wisconsin State Plumbing Inspection Services,PO Box 1128us the
• Application(s)skh WI and fee(s)can be mot in to City
Hall,Room 205 or mailed lt to in fspe being doubled Pr$100.00 p
Oshkosh W1 54903-1128. Commencing work without permit(s)
►t,s c ec here
normal permit fee,which ever is greater. u r , ,ve ads uate
OR , it
u• i� 1 • r r ■
au are a c,►rt►ac +r '"-
!Lila—want t 'S -, � �
J J / Date
/a:2312��n GL �L Value(Including labor and materials)
Job Address (`c' 1✓ , P•r..
r. Contractor Industrial
Owner = - ' Rental ❑Commercial ❑
Single Family []Duplex [Multi-Family ❑
Catch Basin
Number of Fixtures: prinkFtn Wash Ftn
Disposal Wait.St. — —
Whirlp Urinal —
Dishwasher --"— ICs Chest -----
W
Whirlpool — Gar Drain
Sump Pump Exam Sink
Lavatory Soda rain —
Ejector/Grind Seulry Sink
Roses. Coffee Maker Disp
Water Sooner Hand Sink
Res.Sink
Local Waste Comm.Ice Maker Bar Sink F Prep Sink ___ __
�_ Clothes Wshr Site Drain —
Shower Heater Sery Sink __.
as 0 Elect 0 PwrVnl Bidet Roof Drain Int Grease Trap
Shower Beer Tap Slendp Rec
Ext Grease Trap Eye Wash Stn --
Floor Drain Classrm Sink R.P.Z.Valve
Lndry Tray Surgeons Sink Eye Sewer Mtrs
Shame Sink
Lab Sink Breakrm Sink Wtr Sewer
Meters —
FIrIWst Sink
Sterilizer Sink Dip Well Wtr Usage Mtrs --
Sterilizer Hose Bibs
Misr..
Fixtures OR []Electric Installation Verification form attach
Electric Contractor (If Replacement) {
-.Z i
Use/Nature of Work '- 0 _ Mk
Conn.Type
Size Material Type #
Sanitary Sewer
Storm Sewer
Water Service