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Home My WebLink About0153522 - Plumbing (water heater) CITY OF OSHKOSH No 153522 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 909 W SOUTH PARK AVE Owner YVONNE L GRAHAM Create Date 11/13/2012 Contractor M P KELLY Category 411 -Residential-Water Heaters Plan --- — -- — --- — Inspector Jerry Fabisch Deduct Meters Bathtub Clothes Wshr Classrm Sink Surgeons Sink Roof Drain De Sewer Meters Shower Lndry Tray Exam Sink Sterilizer Soda Disp Prep Whirlpool Sump Pump F Pre Sink RPZ Valve Coffee Maker Wtr Usage Mtrs Site Drain Misc. San Sump/Pump FIr/Wst Sink Bidet Lavatory — — Fixtures Toilet _ Water Softner Hand Sink Urinal Wait.St. - — — Tap Ice Chest Kit Sink Standp Rec Lab Sink Beer -- Plaster Sink Dip Well Comm Ice Maker Disposal Gar Drain --- Dishwasher Local Waste Scul Sink ry 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 ISFR(RENTAL)/REPLACE ELECTRIC WATER HEATER,EIV SIGNED BY T RUCK ELECTRIC **check#12387 �I of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1306920000 p $0.00 Permit Fees $25.00 ❑ Permit Voided Valuation $1,170 Plan Approval Date 11/13/201.2 Issued By V" ,(/ 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. Date Signature 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. 1.IGl... I J• L V I I IV•i%inn! V 4 I , u, vvotro,...Ito "viol .....■ as." '•"' • • „ . F rh , •...„.. 7.4,1 City of Oshkosh 1 ' L ' , ..,,,,„,,, , ,i inspection Services Division C P 0 Dox I I30 I loA NOV 1 2 2012 Dshkosh,WI 54903-1130 ., Phone:(920)236-5050 . Par(920)236-5084 •° ' "A' Plumbing Permit Application I hereby apply for a penult to do and install the t°flowing plumbing on the premises hereinafter described,the work to conform to the Wisconsin State Plumbing Code,in the performances of which all patties hereto agree to and are bound by said statutes. ID Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection SttrViCell,140 Box 1128;Oshkosh WI 54903-1128. Commencing work without peirmit(s)will result in feet being doubled or$100.00 plus*.normal permit fee,which ever is greater, . • OR. r , f.re'• c , r, • ,,, , ,_...1 , t fø •C . 1 .8. , '.I.J r IN ,.1.ah,V ., ,-, , i f you want ihtS orocesfte,d through your ttccount n '*Advisory-For applicable projects, an Electrical Installation Verification(Eiv)form,signed by the Eleotticar Contractor or HMCo/liner(for installations allowed to be performed by the homeowner)must be submitted with the permit application. Applications submitted without artEIV when such is required,will not be processed for Penult Issuancetand will be returned for completion. fob Address2Z2A 44,_____-.L/, , ue(Including labor and materials) 7 '') Date944 c.)----. Nruer V Contractor _y_ UAL...er_lgi ilk E. DaKglo mily riDuplex Ellquiti-Vamity .entai OCommertioi Elindustrial "umber of Fixtures: Bathtub Sump Pump - Plaster Sink RaolDrein - Shower • .. Stn.Surer/Pomp Scullery Sick _ Sodt Ditp _____ Whirlpool ,,,,:___ Water Softener Service Sink Coffee Mkr _ - - Lowery Standpipe Rec Shimp Sink Site Drain - - - Toilet Garage FD SIngenni Sink Wailrs Slit _ - _____ - Kit Sink Local Waste - Steriliser • lee Chest _ Disposal _ Bar Sin3c RPZ Vein Comm lee Maker _ - Dishwasher Brad=Sink - "Bidet _ hU Orme Trap _ Floor Drain Classun Sink -- Urinal -- Ext Chrome Trap Hose Bibb Exam Sink - Beer Tap _ Eye Wash Sin _____ Water Heater / P Prep Sink Dipper Well _ Deduct Meter _ 0 Om BIM 0 PWIVnt 111001 Sink DrinIc Fntn Wtr SeWtt Mir - _ _ Clothes Wahr Rad Ms* Wash Plum WO Usage Mir -- _ Lndry TraY Lab Sink Catch Basin Miso Fixtures _ — tic Contractor(for p jects not y utti ' ElY a mm) Nature of Work el A Size Material Type # Conn.Type Sanitary Sewer , ..." Storm Sewer k Water Service . • . . 06/09 City of Oshlcosh Division of Inspection Services 13215 Church Avenue ® PO Box 1130 I\I 0 V 1 2 2012 Oshkosh WI 54903-1130 ON TN Office 920-236-5050 '.:2" Fax 920-236-5084 N TN WATE Electric Installation Verification I(We) , /a ........ - (Electrical Contractor Name) ?il - - (Address) (City) (State) (Zip Code) have been contracted to perform electric installation work for I.L.—. i Ill •- , (Name of p. . contracted to) at the following address: o9 c9cat-v-4,. / (Address where work will be performed) The nature of the work consists of: (Check One or Describe the Nature of Work) L 'Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser. Reconnection or new circuit for replacement Electric Water Heater or power vented water heater. Reconnection of the Service Entrance Cable,Meter Box, alterations to receptacles and lighting fixtures due to siding/ soffit installation. Note: New Service Entrance Cables will require a separate permit. Reconnection or new circuit for the replacement of other permanently wired _ appliances/ fixtures. New circuit for the addition of A/C to an individual dwelling unit(house or the individual systems in a duplex or condominium),including required service electrical outlets. Other • . The value of this work is I hereby verify this work will be performed by an employee of this company and further verify the reconnection/installation will be done in compliance with manufacturer and Electric code requirement .41 _ - I, .. A. 9 -/-2_6 2_ 4114.... . r ,A■ _______-- (Signature a ompany Officer) (Print Nam, of Off er) (Date) 5/02