HomeMy WebLinkAbout0153524 - Plumbing (pwr vent water heater) CITY OF OSHKOSH No 153524
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2440 HEARTHSTONE DR Owner A DAM R/REBECCA J BRANTMIER
Create Date 10/30/2012
Contractor M P KELLY — — — — --
- Category 411 -Residential-Water Heaters Plan
Inspector Jerry Fabisch -- — ---
Bathtub Clothes Wshr Classrm Sink Surgeons Sink Roof Drain
Shower — — -- Deduct Meters
Lndry Tray Exam Sink
Sterilizer Soda Disp Wtr Sewer Mtrs
Whirl ool
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
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 $FR/REPLACE POWER VENT WATER HEATER "check#12387
of Work — - - — — -
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1219740622
Valuation $1,508.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided I
Issued By ?nit`} Date 11/13/2012
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 665 N MAIN ST OSHKOSH WI 54901 -4431 Telephone Number 231-1750
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.
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I./. LVII IV.Juno vatt VI livenuty •11. 1 uv I ••ert ••`' • • •—• • rrik rrAl ',•11'') '
ity of Oshkosh iiil
ispeetiort Services Might%
0/Box 1130 NOV 1 2 2012
shkosh,WI 549034 130
, .
Ilene:(920)236-5050 . ,;_ , ..,,, : •
ex!(920)236-5014
, - wik-Iinuf,Fon; orr ,,,,, DvEuN
Plumbing,Permit Application
hereby ippiy fin a parfait to do and install theibliewingphanblag en the paha hetelmtkr dosocibed,the work to ctie to the
Wisconsin State Plumbing Code,it the performance of which all parties haute agree to and En hound by sold statutes.
•
Applesticri(s)and the(s)cen be brought to City Hall,Room 205 or unileito Impeetim Services,PO Box 1121.4 Mach WI
54903-112t Cementing wait without permit(*)will mai*tees heh*doubled or$100.00 plus the mend permit fita which
over is greeter,
'yaw wont Mil procrogd.to ugh,V01(r saCCOU1Of
k Advisory-For applicable projects,an Electrical Installation Verification(5111)fens,signed by the Bleetricak
'entractes.or EostwOWner(fer installations allowed to be performed by the hornatruater)must be submitted
ritli the permit application. Applications submitted without engfir when ., is putuired,will not be
rocessed for Penult Ismancerand wip be retained for completion, oi, ed
ie_iIiie 1-fr,q/Y4s56 de-IP& .
• ,....... /o/c.. 'I
ob Addr (holuding-laharand saalaials) IP Date
)traer f.6 ePa( /544-4/71/97 if ktntracter .
— —_ . .. 0.___;■
lilt&Family T rjnnpiex riMulti-Pamily ' :Mental OCommercial IN Industrial
ember of Fixtures:
isiteub ' Sump Pump Plaster Sink itatelksia
— _____
---.....
Dower . . ,. Sim.Suasearsa &day Sid _ Sods Div
-
msittrou ....;: Writer&Amer _ ServiasSink Cathie dar
____
Amory Standpipe Ree _ Shanip Sink Site Lkain
_
----
Wet - _Garage FD Surgeons Sink ... Welke ste
-
It Sink — Local Waste ----
Seilises -- fee QM
—
disposal . her Sink — RPZ Vein — Cameo let Maker
—
dishwasher beldam Sir* -- -Net _ int&east Rap —
loot Drain Chown Sink
— Urinal ____ Ent Goon Trap
lose Bibb Sean Sink — Seer Tap We Wash Sin
—
Wm-Heat& P Prep Sink Dipper Well Detinet dater
— —
(3 Oas CO'''"".'7 WA: Moor Sink — Drink Fern Wtr Senor her _
-- _
:lothes Wsbr Hind Sin _k Wash RN _ Wig Usage ddit
____
a dry'Dny tab stak
— Cochilasin Miss Pheares
---.
it COlgrattOr(fOr p .. , not resin n ETV Fe •) .
AO i
krittare of Work IA ./ r
Of/ / _ I/ad:Lk
o _
,
,_,
- I7.6 Material Type # Cann.Type
V V., .. ..,
Sanitary Sewer 1
storm Sewer . .
Water Service
-1- ..• •.;
06/09