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HomeMy WebLinkAbout0154381 - Plumbing (water heater) CITY OF OSHKOSH No 154381 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1750 W 5TH AVE#E Owner SCOTT D/MARIA K JOHNSON Create Date 02/07/2013 Contractor JOHN D RANSOM Category 446-Commercial-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 Flr/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 Sculry 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 UselNature ONDO/REPLACE GAS WATER HEATER **check#4962 of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 0611570400 Valuation $695.00 Plan Approval _ $0.00 Permit Fees $30.00 ❑ Permit Voided Issued By 2. ! t ll ji— Date 02/07/2013 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 W5056 PARADISE LN FOND DU LAC WI 54935 -9662 Telephone Number 920-922-1987 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. t I city of Ol Serv0 ices Servi ces Division P O Box 1130 O�I ��! r l(I� Oshkosh,WI 54903-1130 Phone:(920)236-5050 ON t. THE-WATER' Fay;:(920)236-5084 Plumbing Permit Application permit to do and install the following plumbing on the premises herreinafter described,the work to conform to the I hereby apply for a perms Wisconsin State Plumbing Code,in the performance of which all parties hereto agree to and are bound by said statutes. • can be brought to i Cis}'Hall,Room 205 or mailed to Inspection doubled or a f plus the Application(s)and fee(s) will result in fees Oshkosh.WI 5903-1 128. Commencing work without permits) normal permit fee,which ever is greater. OR r you are a contractor articipatin_ in the Permit Fee Account System and have ade uate ands. check here i ou want this recessed throu:h Your account • �Sr `� Date� - . �3 Job Address/�C� U S ��vt' Value(Including labor and materiaLs)_ — Contractor 1-011r\ Q. S©'i� --------- Ovrner SC's rJ s Industrial Single Family CDupiea Multi-Family' L Rental �}Comlmercial Number of Fixtures: Sharp Sink D Oper. Bathtub ?ndry Standp AL p�iWs:Sink Dip Well Whirlpool Disposal CaL h Basin Drink I'm Dishwasher Wash Ftn Wait SL Toilet Sump Pump urinal Ice Chest Res.Sink Ejector/Grind Gar Drain Water Sofiner Exam.Sink Bar Sink Soda Disp 1( Lo::aI Waste Scuiry Sink Water Hester gland Sin Coffee Maker Cofaker `itGras D Elect 0 PwrVnt Clothes Wshr Ice f ee Mr F Prep Sink Shower Bidet Site Drain Sere Sink Floor Drain Beer Tap Roof Drain Ladry Tray Classrm Sink ins Grease Trap Lab Sink Surgeons Sink Ext Grease Trap Standp Rec R.P.Z.Valve Eye Wash Stn Piaster Sink Brealarn Sink Sterilizer ;/` OR []Electric Installation Verification form attached Electric Contractor (If Replacement) Use/Nature of Work r e•i Cf `C^S vJc Fe A -to "∎ ' x Conn.Type CI� 1 Size. Material Type /j// Sanitary Sewer 3 0 �� L' Storm Sewer ,�1 y�i�2 Water Service