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Home My WebLink About0153692 - Plumbing (water heater) CITY OF OSHKOSH No 153692 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 533 W 5TH AVE Owner BRIAN K SCHUETZ Create Date 11/23/2012 Contractor J RASMUSSEN PLUMBING INC Category 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 Wtr Sewer Mtrs Whirlpool Sump Pump F Prep Sink RPZ Valve Coffee Maker Wtr Usage Mtrs Lavatory San Sump/Pump FIr/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 Eye Wash Statn Water Heater 1 Use/Nature SFR/installation of a water heater of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 0600390000 Valuation $650.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided Issued By Date 11/26/2012 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 1914 GREENBRIAR TRL OSHKOSH WI 54904 -8887 Telephone Number (920)233-6747(work 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. RI, NOY. 23. 2012 09: 16 AM KITZ&PFEIL OSHKOSH FAX No. 920 236 3346 P. 001/001 • City of Oshkosh Inspection Services Division p O Box 1130 41 ir)1 • Oshkosh,WI 54903-1130 Pax:(920)(0)2)236-5050 fJ�O.f H Pax:(920)236-5084 . ON THE WATER Plumbing Permit Application . 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 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 permit(s)will result in fees being doubled or$100.00 plus the normal permit fee,which ever is greater. OR ' 1 ou are a contractor •at-tici•atin_ in the Permit Fee Account System as• ,ave •de•vate tends. check ere if you want this processed through your account n, , **Advisory-For applicable projects, an Electrical Installation Verification(ETV)form, signed by the Electrical Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted with the permit application. Applications submitted without an EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. o� Job Address - •r - �' r e. Value(Inoluding labor and materials) S Date /092) • Owner 3R)FM) AC it g37-Z__ Contractor ....1' KAs�. s 17 11 l`'"'� -..—.-- —, • 0$ingle Family ' ['Duplex ['Multi-Family ❑Rental []Commercial DInclustrial •Number of Fixtures: - Bathtub Sump Pump Plaster Sink Roof Drain Shower • San.Sump/Pump _ Scullery Sink Soda Disp • Whirlpool Water Softener Service Sink Coffee Mkt . Lavatory Standpipe Rec Shamp Sink Site Drain Toilet Garage FD Surgeons Sink Waitrs stn • Kit Sink Local Waste Stenlizer Ice Chest Disposal Bar Sink RPZ Valve Comm Ice Maker Dishwasher Brcakrtn Sink bidet Int Grease Trap Floor brain Classrm Sink' Urinal Eat Grease Trap Hose Bibb Exam Sink Beer Tap • Eye Wash Ste • Water Heater /. . F Prep Sink - • Dipper Well Deduct Meter XGas 0 Elect❑PwrVnt Floor Sink brink Fein Wu-Sewer Mir Clothes Wshr Hand Sink Wash WirUsageMtr ' Lndry Tray Lab Sink Catch Basin M Fixtures ise Fixres 1 Electric Contractor (for projects not requiring an EIV Form) %/ Use/Nature of Work " Q 10,-4-C 7&5 (x)a +us 1-e L4 **************, Size Material Type # Conn.Type please use Sanitary Sewer the Kite & Pfeil Storm Sewer ,Acct l• Thank you, Water Service Cris ************,* 06/09 Received Tine Nov. 23. 2012 8: 08AM No. 1742