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