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HomeMy WebLinkAbout0153719 - Plumbing (water heater) CITY OF OSHKOSH No 153719 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 10 12 E WAUKAU AVE Owner LUCINDA G DELAP Create Date 11/27/2012 Contractor RAUSCH PLUMBING 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 Scully 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 DUPLEX(10 E WAUKAU AVE)/REPLACE GAS WATER HEATER **check#27276 of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1417170000 Valuation $220.00 Plan Approval ___ $0.00 Permit Fees $25.00 ❑ Permit Voided Issued Byb.J Date 11/27/2012 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 1606 W HASKEL ST,STE A APPLETON WI 54914 -5032 Telephone Number 920-830-9222 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. City of Oshkosh :it. � ; Inspection Services Division � � P O Box 1130 Oslikosh,WI 54903-1130 Phone:(920)236-5050 Fax.(920)236-5084 Application permit App to the Plumbing the work to conform on the premises hereinafter described, are bound by said statutes. plumbing parties hereto agree to and of which all p PO Box 1128, s. I hereby apply for a permit to do and install the following p ices, Code,in the performance Services, plus the Wisconsin State Plumbing Hall,Room 205 or mailed to Insp doubled or$100.00 can be menght to City s will result in fees being • Application(s)and fee(s) work without permit(s) ►t� c eck here Oshkosh WI 54903-1125. Commencing ever is greater. ,Ve ,de'uate normal permit fee,which ,� , , OR 0 ./t -1 u � itrac , ' � "/ 1 ou are a c s ed , . Date 11 i attwanttl �, - .# Value(Including labor and materiels) �/`� _ 4 `1/5) G , Job Address r Contractor Industrial C-u�i� I �G� Rental ❑Commercial ❑ Owner QMulti-Family ❑ [�5ingle Family Duplex Catch Basin Number of Fixtures: — prinkFtn Wash Ftn ---- Disposal Wait.St. Urinal Bathtub Dishwasher Ice Chest Gar Drain Whirlpool Sump Pump — — ---- Erratn Sink Soda Disp Lavatory Ejector/Grind Sink Toilet Water Softner — Scully Coffee Maker Hand Sink Comm.Ice Maker Res Sink Local Waste _ F Prep Sink �— Site Drain Bar Sias rV Clothes Wshr _- Water Heater —�-- Sery Sink Roof Drain �as 0 Elect 0 PwrVnt Bidet — Int Grease Trap -- Roof Rec Shower Beer Tap Ext Grease Trap Eye Wash Stn Floor Drain Classrm Sink R.P.Z.Valve Surgeons Sink - W e Wash in Lab Sink Tray Shame Sink Breakrm Sink — Wit Sewer Meters Lab Sink Flr/Wst Sink Deduct Usage Meters — Steril Plaster Sink Dip Well Sterilizer Hose Bibs Misr. Verification form attar Fixtures OR ['Electric Installation (If Replacement) p Electric Contractor �� -_[� 7 C/t l/1 . C L.I /t ��i Use/Nature of Work Conn.Type Size Material Type # Sanitary Sewer Storni Sewer Water Service