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Home My WebLink About0154238 - Plumbing (water heater) CITY OF OSHKOSH No 154238 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 2227 N MAIN ST Owner BRIAN J CLARKE/JENNIFER L DAVIS Create Date 01/22/2013 Contractor RAUSCH PLUMBING Category 411 -Residential-Water Heaters Plan Inspector Jon Mueller _ Bathtub 0 Clothes Wshr 0 Classrm Sink 0 Surgeons Sink 0 Roof Drain 0 Deduct Meters 0 Shower 0 Lndry Tray 0 Exam Sink 0 Sterilizer 0 Soda Disp 0 Wtr Sewer Mtrs 0 Whirlpool 0 Sump Pump 0 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0 Lavatory 0 San Sump/Pump 0 FIr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. 0 Toilet 0 Water Softner 0 Hand Sink 0 Urinal _ 0 Wait.St. 0 Fixtures Kit Sink 0 Standp Rec 0 Lab Sink __ 0 Beer Tap 0 Ice Chest 0 Disposal 0 Gar Drain 0 Plaster Sink 0 Dip Well 0 Comm Ice Maker 0 Dishwasher 0 Local Waste 0 Scully Sink 0 Drink Ftn 0 Int Grease Trap 0 Floor Drain 0 Bar Sink 0 Sery Sink 0 Wash Ftn 0 Ext Grease Trap 0 Hose Bibb 0 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0 Water Heater 1 Use/Nature SFR/REPLACE GAS WATER HEATER **check#27385 of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1518890100 Valuation ��-y�$2130.00 Plan Approval __ $0.00 Permit Fees $30.00 ❑ Permit Voided o ' ' 'InJ1 Issued By Date 01/22/2013 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 Inspection Services Division P O Box 1130 Oshkosh,WI 54903-1130 Phone: (920)236-5050 Fax: (920)236-5084 011 IKOJH 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 IJyozz are a contractor participating in the Permit Fee Account System and have adequate funds, check here if you want this processed through your account El **Advisory-For applicable projects, an Electrical Installation Verification(EIV) 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. Job Address a7 , /, . v(c.i 57 Value(Including labor and materials) 4 a,.., Date 1/1s11 3 Owner rl A v, Contractor (24 c Single Family ❑Duplex [Multi-Family nRental [Commercial ❑Industrial Number of Fixtures: Bathtub _ Sump Pump Plaster Sink Roof Drain Shower _ San.Sump/Pump Scullery Sink Soda Disp Whirlpool Water Softener Service Sink Coffee Mkr Lavatory _ Standpipe Rec Shamp Sink Site Drain Toilet Garage FD Surgeons Sink Waitrs Stn Kit Sink Local Waste Sterilizer Ice Chest Disposal Bar Sink RPZ Valve Comm Ice Maker Dishwasher Breakrm Sink Bidet Int Grease Trap Floor Drain Classrm Sink Urinal Ext Grease Trap Hose Bibb Exam Sink Beer Tap Eve Wash Stn Water Heater I F Prep Sink Dipper Well Deduct Meter 'FSGas[1 Elect L1 PwrVnt Floor Sink Drink Fntn Wtr Sewer Mtr Clothes Wshr _ Hand Sink Wash Fntn Wtr Usage Mtr Lndry Tray _ Lab Sink Catch Basin Misc Fixtures Electric Contractor(for projects not requiring an EIV Form) Use /Nature of Work )---ep( ri Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service 06/09