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Home My WebLink About0153519 - Plumbing (water heater) CITY OF OSHKOSH No 153519 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Create Date 11/13/2012 Owner HANNAH M WORTMAN 1-- Job Address 604 WAUGOO AVE _ -- -- -- - Plan Contractor M P KELLY Category 411 -Residential_Water Heaters —-Inspector Jerry Fabisch Bathtub Deduct Meters Wshr Classrm Sink Surgeons Sink Roof Drain Clothes — -- Soda Disp Wtr Sewer Mtrs Sink Sterilizer Lnd Tra - Shower ry y Exam RPZ Valve Coffee Maker Wtr Usage Mtrs Whirlpool Sump Pump F Prep Sink - -- Misc. FIr1Wst Sink Bidet Site Drain Lavatory San Sump/Pump Fixtures Urinal Wait.St. Toilet Water Softner Hand Sink Ice Chest Standp Rec Lab Sink Beer Tap _ Kit Sink --- Maker _ _Gar Drain Plaster Sink Dip Well Comm Ice Disposal Drink Ftn Int Grease Trap Dishwasher Local Waste Sculry Sink Sery Sink Wash Ftn Ext Grease Trap Floor Drain Bar Sink Hose Bibb Eye Wash Statn Breakrm Sink Shamp Sink Catch Basin E y - - - Water Heater 1 Use/Nature ISFR/REPLACE GAS WATER HEATER **check#12387 of Work J Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 0202400000 $0.00 Permit Fees $25.00 ❑ Permit Voided Valuation $880.00 Plan Approval - Date 11/13/2012 Issued By . ' ' '"-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 Rnoui d n gu Bg if Secure(how do we gain Address,entry),your Type of Inspection(i.e. Footing, Service, Final,etc.),Access 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. LA I I Iv./Vnns vi t vi vv.nwv.. .nv. ..... .v.. ..-. . . ... ri s V G V. 1 J. Fit , e r h City of Oshkosh Inspection Services Division NOV 1 2 2 012 PO Box 1130 Oshkosh,WI 54903.1130 Phone:(920)236-5050 17 Par(920)236.5084 v ,, 1 Plumbing.Permit Application I hereby apply for a permit to do and install the 4b1loviing 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(a)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128;Oshkosh WI 54903-1128. Commencing work without permits)will result in fees being doubled or$100.00 plus the normal permit fee,which ever is greater. OIt ,-re•a c,E racfo tart =1, i ! to the Per 1 Fe .. eau tie Ad 1 ou 1 As ,-r, s: d throu:h. our a cunt • **Advisory-For applicable projects, an Electrical Installation Verification(Erv)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 par/when such is required,will not be processed for Permit Issuance , , will be returned for completion, Q� S// f QS1ue(including labor.and ataruiels)j fo - " I)Bte 9 Job Addy � - _ ic1tt-a- 1(11-7661(a4 Contractor ► A E In ;) . • • Family inn uplex ❑1YYulfi-Family ['Rental []!Commercial •Industrial Number of Fixtures: Sump Pump _---_,..— Plaster Sink Roof Drain r..�.. Hatbtub Sods 13s Shower ,' San.SumpiPurep Scullery Siek p — Whirlpool Water 3ottener Sesvlc Sink Coffee Mkr 3tandplpeRec SbarnpSlnk Site Drain w.� Lrnatory _ Waitrs Stn Toilet Garage FD Surgeons Sink ----- Kit Sink Loeai Waste Steriliser Ice Chest•— Disposal Bar Sink BM Valve Comfit lee Maker Dlshwaahu Break=Sink 'Bidet ant Grease T Clasrtn Sink Urinal Ext Grease lisp Floor Drain Peer Tap Eye Wash Sin Hose Bib f *karts Sink — / P Prep Sink Dipper Well Deduct Meter We cats WtrSew Sewer On 0 Elect l3 Pwr'Vnt Ploor Sink .Drink Frith Clothes Wahr Hind Sink Wash Fenn Wtr UsageMer Ln&yTVSY Lab Sink __r Catch Basin Milo Fixtures etric Contractor(for proje not requ' mg c n E Form), /Nature of'Work a-" --ga ( > , — Size Material Type tt Conn.Type Sanitary Sewer 7:. Storm Sewer . r Water Service 06/09