HomeMy WebLinkAbout2012-Plumbing (water heater) CITY OF OSHKOSH No 153183
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1005 RUGBY ST Owner L J P LLC
Create Date 10/25/2012
Contractor D.R. PLBG.LBG. ---
HANSEN P - — Category 446-Commercial-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
ry 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
p 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 COMM(JEFF'S ON RUGBY)/REPLACE 75 GALLON GAS WATER HEATER **debit acct
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1302810000
Valuation _ Plan Approval __ $0.00 Permit Fees _ $25.00 ❑ Permit Voided)
Issued By1?�)1 >1
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 55 KNAPP ST OSHKOSH WI 54902 -3448 Telephone Number 233-1595
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.
I %N.A. ---.= . . _
City of Oshlaush
Inspection services Division
A)0 Box 1130
Oshkosh,WI 54903-1130
(920)236-5050 -
Fax(920)236-5084
Plumbing Permit Application ON„ wi R
Ihereby applyar a penult to do and install the fillowingphimbii g on the protases hereinafter deserThed,the 'ant to case=to the
Wisconsin Sla Code,tithe p' 1 manse ofwhichaQ patties hereto agee to and me boned by said states s,
• 54903-1128.)and fee(s)can be brought to City l 11,Room 205 or mailed to m,Services,PO of 11128,Oshkosh in
vr Cee woic without pe nit4 i)wi11nesakin fees being doubled or 5100.00 pins the Mend pernsit fee,wbich.
OR
g vox area eatract»r gyp_ fjt the Permit Fe .tegsmr tr
:- 0_em_and have adg,rats„fads. cheek_hsre
if-tecitatttibitztrocessed threxeh year account fl
CA�� For ,an Electrical Installation Ve (WV)faint, by Blem cal onnr For
Moe _�kY
- +. > � _
. wit' h the penult application. Applications - ; � + sote 1bt Fatah Issuance a nd will he issio icd for
JoMr,Addres0 tom-eyq 1 ` tt
rt on R5 %title Onde ,s!niscuitto 4,00 0 . Date_10.4
Owner IThl 1 Ir.v nt Contractor 1)R Plumb i n�DS b ]Daplex p t ui-w a� L t
rn,d
•
Number of Fatnres:
Baltittib - . - Sump Plater WA •Roean hi
Shaw liko.per sc ae,,srot
Service Sink CoiSst •
ism Mary Sink SRcAtain
Toilet t�uage pp . Syrgnaos Si*
1Cksioic Walls Stu Waste
•Disposal Rasa* RPZ Who Camilla kW=
Didocrourcv Ibeeloim Sit .Stet tats Thy
Flour Mel ammo Sletc - Mittel PxRd1►esseTap
Mee Bibb B amSi* Beer
Rye Wash Stu
Water Heater na i PPM)Sink Dipper Wall DMncl11!!!r
dittos CIDertOPRIVre Thor Sink
--� Rend
D n
tawdry nay Lab_ - Oft nasio
Ma Fromm
Electric Contractor(fir projects not requiring an ELY Form)
Ilse I Nature ofWork
Sri Material # . _ Conn_Type - .
Sanitary server
&WM Sayer
Water Service -
06/09
Received Time Oct. 25. 2012 8: 04AM No. 1395