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Home My WebLink About0153523 - Plumbing (water heater) CITY OF OSHKOSH No 153523 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 734 MOUNT VERNON ST — Owner CHARLES T JOHNSON Create Date 11/13/2012 Contractor M P KELLY ------------ --- — -- Category 411 -Residential-Water Heaters Plan — Inspector Jerry Fabisch Bathtub Clothes Wshr Classmt Sink Surgeons Sink Roof Drain Shower Lndry Tray Exam Sink - _--_ Deduct Meters Sterilizer Soda Disp Wtr Sewer Mtrs Whirlpool Sump Pump F Prep Sink RPZ Valve --- k 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 — - Dishwasher P Comm Ice Maker Local Waste Sculry Sink Drink Ftn Int Grease Trap Floor Drain Bar Sink Sery Sink Wash Ftn -- Hose Bibb Breakrm Sink Ext Grease Trap Shamp Sink Catch Basin Eye Wash Statn Water Heater 1 Use/Nature SFR/REPLACE GAS WATER HEATER **check#12387 of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1000850000 Valuation $1,1 2.00 Plan Approval __ $0.00 Permit Fees W --- _ $25.00 ❑ Permit Voided) Issued By Date 11/13/2.012_ 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. water Nervice VGA.. 1 J. N II IV.J V nni vat I v I v v I I v n a I'V 1 a.v I ..n. ••-. • • -- City of Oshkosh 4 Y rnapecbion Services Division i,4, ,., .= P O Box 1130 Oshkosh,WY 54903.1130 NOV 1 2 2012 Phone'(920)236-5050 fiTJ�1IPTA� ,, Pax'(920)236-5084 i Plumbing Permit Application iNsrr , I hereby apply for a permit to do and install thefollowing plumbing on the promises hereinafter described,the work to conform to the Wisconsin State Plumbing Code,in the performance of which all patties hereto agree to and are bound by said statutes. r Application(s)and fte(s)can be brought to City Hall,Room 205 ear mailed to Inspection Services,p0 Box 1128;Oshkosh wi 54903-1128. Commencing work without permit(s)will result in fees being doubled or S I00.00 plus the normal permit fee,which ever is greater. OR. r • ,fie., c f ra • , 4 . t . e 1. ' ._l • . • r _ :r: -v . :. 4.. : : 'f you wont_Mir processed through your account f '*Advisory-For applicable projects,an Electrical Installation Verification(EN)form,signed by the Electrical Contractor or Bomcowner(for installations allowed to be performed by the homeowner)must be submitted with the permit application. Applications submitted without anF.XV when such is required,will not'be processed for Permit issuance'and will be rots ed for completion, / / / fob AAddr '� /y1/ i E/f- •a`lue(including Wound menials) / it • � Date /�/'�31. — ex. U lli z -,J1., //Se./L Contractor ' Z _- gleFamily f1nuplex [Wulff-Family []Rental (Commercial II industrial V number of Fixtures: Bathtub Sun*Asmp Plaster Sink RcetDr«in Shower - San.Sump/Pomp SWUM Slak Sods Ditp Whirlpool Water Softener Saybe Sink Cadies Mk Lavatory Standpipe Roc Sbunp Sink Site Drain Toilet Gimp FD _,,,__ Surgeons Sink Waitrs Sin Kit Sink Local Waste Sterilizer • roc Chest Disposal _ Bar Sink RiZ Valve Comm tee Maher Dishwasher Break=Sink -Bidet lnt Oreate Trap Floor Drain Ctasmn Sink — Urinal Ext Grease'Nip Huse Bibb Bxam Sink Beer Tap �e Wash Stn Wen-ter F Prep Sink Dipper Well Deduct sector 0ElectO.ltwrVet Floor Sink Drin kFntn wt Sewer Clothes Wshr Hind Sink _____ Wash Fntn Wtr Usage Ma Lndry Tray Lab Sink Cttch Basin Mite Fixtures ric Contractor(for projects note uit% n E F ). , le Nature of Work t ili Size -- Material Type # Conn.Type Sanitary Sewer , "s Storm Sewer . Water Service 0'6109