HomeMy WebLinkAbout0153425 - Plumbing (water heater) CITY OF OSHKOSH No 153425
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 915 E LINCOLN AVE Owner LEONA H ZILLGES Create Date 11/07/2012
Contractor DENNEE PLUMBING LLC 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 FIrIWst 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 Scully 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#1272
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1106100000
Valuation 51 -)$675.00 Plan Approval $0.00 Permit Fees $25.00 El Permit Voided
Issued By v a 1 Date 11/07/2012
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 3512 S CHRISTOPER CT APPLETON WI 54915 -7093 Telephone Number 920-475-6595
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 .. �'
P O Box 1130 �,,
r
Oshkosh,WI 54903-1130
Phone:(920)236-5050
Fax:Fax:(920)236-5084 =
Plumbing Permit Application
t to do and install the following plumbing on the premises hereinafter described,the work to conform to the
I hereby apply for a permit �e
performance of which all parties hereto agree to -'' 9 ' . by
Wisconsin.State Plumbing Code,in the perfo
• Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection , • ,
, t 'Al*
54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus th
ce'which
ever is greater.
OR ., T (..ii
If you are a contractor participating in the Permit Fee Account System and ha e ttatef tdst k igiarle INSPECTION SERVIS if you want this processed through your account r(
an Electrical Installation Verification(EIV)form,signed by the Electrical
**Advisory-For applicable projects, the homeowner)must be submitted
Contractor or Homeowner(for installations allowed to be p�onncd by will not be
with the permit application. Apples submit an EIV when such is required,
processed for Permit Issuance and will be returned for completion.
C 7S 0 0 Date /l/a/ "/�
Job Address `�I_S C i, r'1 C4
Value(Including tabor and materials) ' n
Contractor 9(an ii e c Y/vim 4, i ).' '�' - C--,
Owner �,2�;i1Crt Z:1110), �� genial [�Commerciai �]Indastrial
yi ingle Family ❑Duplex" ❑Multi-Family ❑
Number of Fixtures: Roof Drain
Sump Pump Plaster Sink
Bathtub _ Soda Disp
San.Sranp/Pump Scullery Sink
Shower — Water Softener Service Sink Coffee Mkr
Whirlpool _ Shamp Sink Site Drain
Lavatory _ Standpipe Rec Site Drain
Sin
Garage FD Surgeons Sink
Toilet _ Ice Chest
Local W� Sterilizer
Kit Sink _ Comm Ice Maker Sink RPZ Valve lta
Disposal - Bidet It Grease Trap
Dishwasher _ Breakrm Sink
Ext Grease Trap Urinal
Floor Drain _ Classrm Sink Beer Tap Eye Wash Stn
Hose Bibb Exam Sink Dipper Well Deduct Meter
W Heater _� F Prep Sink
Ader Drink Fntn Wtr Sewer Mtr
rts D Elect 0 PwrVnt Floor Sink
Clothes Water Hand Sink
Wash Finn Wtr Usage Mir
Lndry Tray Lab Sink
Catch Basin Misc Fixtures
Electric Contractor(for projects not requiring an EIV Form)
Use/Nature of Work
Size Material Type If Conn_Type
Sanitary Sewer
Storm Sewer
Water Service
06/09