HomeMy WebLinkAbout0154332 - Plumbing (sump pump) CITY OF OSHKOSH No 154332
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
JAMES E LARSON Create Date 02/04/2013 entia/-
Job Address 1008 N SAWYER ST
Owner J ----- ----------
Contractor DRUCKS PLUMBING&HEATING CO INC Category 410-Residential-Interior 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 1 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory _ 0 San Sump/Pump 0 FIrIWst Sink 0 Bidet 0 Site Drain 0 Misc. 0
Fixtures
Toilet 0 Water Softner 0 Hand Sink 0 Urinal _ 0 Wait.St. 0
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 — 00
Dishwasher 0 Local Waste 0 Sculry Sink 0 Drink Ftn 0 Int Grease Trap
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 0
Use/Nature SFR.Sump pump
of Work
I �
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1605040000
Valuation $529.00 Plan Approval _- $0.00 Permit Fees $30.00 E] Permit Voided I
Date 02/04/2013
Issued By 31,4A.
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 314 APPLETON ST — MENASHA WI 54952 -2318 Telephone Number 426-2654
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.
B-4-2013 08:38A FROM:DRUCKS PLUMBING (920)722-0651 TO:2365084
P.1
City of Oshkosh
Inspection Services Division
P O Box 1130
0
Oshkosh,WI 54903-1130
Phone:(920)236-5050
Fax:(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).und 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
if you are a contractor narticipatine in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account 11
**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 (0 saw?e/ Value (Including labor and materials) S2 7 °-a Date 2-'/ /3
Owner Sad bra KnjolelorK
Contractor Dr`'Ztc s
Single Family [}Duplex ]Multi-Family ['Rental ECommercial DIndustrial
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
ory Want's Stn
Toilet Garage FD Surgeons Sink
Kit Sink
Local Waste Sterilizer Ice Chest
Bar Sink RPZ Valve Comm Ice Maker
Disposal 1nt Grease Trap
Breekrm Sink Bidet
Dishwasher Et Grease Trap
Clossrm Sink Urinal Fact Floor Drain Beer Tap Eye Wash Stn
Hose Bibb Exam Sink
F Prep Sink Dipper Well Deduct Meter
Water Heater Wtr Sewer Mtr
0 Gas 0 Elect❑PwrVnt Floor Sink Drink Fnm
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 •
Size Material Type . # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
06/09
Received Time Feb. 4. 2013 7: 38AM No. 2223