The URL can be used to link to this page

Home My WebLink About0153517 - Plumbing (water heater) CITY OF OSHKOSH No 153517 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 2370 WISCONSIN ST — Owner JOSEPH C/YVONNE S JAJTNER Contractor M P KELLY Create Date 11/13/2012 Category -- ---__— -- --- — —____ gory 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 pool — - -- P Wtr Sewer Mtrs Whirl P Sump Pump F Prep RPZ Valve - - Sink 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 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 Water Heater 1 Eye Wash Statn Use/Nature ICONDO/REPLACE ELECTRIC WATER HEATER, EIV SIGNED BY T RUCK ELECTRIC ""check#12387 of Work -- -- ---— -- —— — Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1219723700 Valuation $7 8.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided Issued By< U —. — Date 11/1.3/2012 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. Vcc. IJ. LVII IV.JVnnt vLI I VI vvnn.JIjn IlIVe 6,01 cVI. _ City of Oshkosh - Inspection Services Division T A , :, P O Box 1 130 j 1 ,l, fA Oshkosh,WI 54903.1130 u° K' e, Phone:(920)236-5050 NOV 1 2 2 f 2 Par(920)236-5084 ��® - ,, I , Plumbing Permit Application , :�,wT I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described,the work to conform to the Wisconsin State Plumbing Code,in the performance of which all parties hereto agree to and are bound by said statutes. • Application(s)and fees)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128;Oshkosh WI 54903-112d. Commencing work without pennit(s)will result in fees being doubled or$100,00 plus the normal permit fee,which ever is greater, OR 1 , are O c,, rac , ter f # ,, in the Perna e_e Aeeaux�Sjstein and have adeq late funds. check her! if yaz< want this processed through your account l **Advisory-For applicable projects, an Electrical Installation Verification :. form,signed by the Electrical Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted with the permit application. Applications submitted without an 'when such is required,will not'be processed for Permit Tasnaueeal:itl will bereturned for completion, /� r Job Addres.�eZ 9S� ,S- - lue(Including labor and materiels) 74 16 2 bate /(1//c:::)- Omer.`/o e-J.7" ,c✓Cti Contractor N 6 ,• gig Family []Y}uplex ['Multi-Family ❑Rental ❑lCornmeriligl III Industrial Number of Fixtures: Bathtub Sump Pump _ _�_ Plaster Sink Roof Mein Stn.Sump/Pomp Scullery Sink Soda Oitp �_ Whirlpool Wirer Softener Service Sink ~� — Larato Co$%e t�ttcr Limiter), Standpipe Rea Shamp Sink '—" Toilet ----- Site Surgeons Sink Wdirs Sin Kit Sink Local Waste Sterilizer • �� Disposal Bar Sink �'� tee Chest Vrlvc Comm tee Maher Dishwasher Breaktm Sink Bidet Floor Drain Chasm Sink int araasr Ftrp Urinal Ext Grease Trap Hose Bibb Exam Sink Beer Tap �_ Water Heater P Prep Sink Wash Stn a fearer FwrVnt Dipper Well Deduct Meier Floor Sink .Drink Fern Clothes Wshr Hind Sink Wtr Sewu Mtr Clothes'Pm Lab Wtr Usage Mk Cab Sink Catch Basin -- Mire Fixtures tric Contractor for projects not)req ifin• ; i Elm Form) r Nature of Work ( -, / / J ,' A -Alaw/A-4/ _A APAr Size Material Type # Conn.Type '"'‘ Sanitary Sewer ) Storm Sewer 4 _ `! Water Service 06/09 City of Oshkosh , ' 12D Division of Inspection Services .,, 215 Church Avenue PO Box 1130 1 2 12 Oshkosh WI 54903-1130 NOV Office 920-236-5050 ON THE WATE Fax 920-236-5084 I , Electric Installation Verification I(We) • i/ 6/ , (Electrical Contractor Name) 690 tJ & �D z4 4"/,o/ - _ (Address) (Ci (City) (State) (Zip Code) have been contracted to perform electric installation work for �'% f.--/L. A�--'' (Name of p contracted to) at the following address: L% 7� as_eoftxsz„,___, . (Address where work will be performed) The nature oft work consists of: (Check One or Describe the Nature of Work) 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 $ /O -0 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 requirements.aai ,...it, 771 2 (- , 2_ signature o' .mpany Officer) (Print Nam of Off er) (Date) 5/02