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Home My WebLink About0154398 - Plumbing (water heater) CITY OF OSHKOSH No 154398 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Create Date 02/11/2013 Owner SCOTT K CAMERON — -- Job Address 2260 PATRIOT LN#B — Plan Contractor D R GLAZE PLUMBING Category 446-Commercial-Water Heaters -- Inspector Jon Mueller 0 Deduct Meters Bathtub 0 Clothes Wshr 0 Classrm Sink 0 Surgeons Sink 0 Roof Drain 0 Wed Deduct Meters ers 0 0 Exam Sink 0 Sterilizer 0 Soda Disp Shower 0 Lndry Tray a Mtrs 0 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Whirlpool 0 Sump Pump __. 0 Site Drain 0 Misc. 0 0 Urinal 0 Wait.St. Lavatory 0 San Sump/Pump 0 Flr/Wst Sink 0 Bidet 0 Misc. Toilet 0 Water Softner 0 Hand Sink 0 Ice Chest 0 0 Stand Rec 0 Lab Sink 0 Beer Tap Kit Sink p 0 Comm Ice Maker 0 Disposal _ 0 Gar Drain 0 Plaster Sink 0 Dip Well 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 Hose Bibb 0 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0 Water Heater 1 Use/Nature CONDO/REPLACE NG WATER HEATER **check#1208 of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1621650526 $0.00 Permit Fees $30.00 11 Permit Voided) Valuation 750.00 Plan Approval — — Date 02/11/2013 Issued By 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 am t, if you pt perform the work described in this permit application within an easement,the City strongly urges the permit app easement holder(s)and to secure any necessary approvals before starting such activity. Date Signature Agent/Owner Address 1865 JAMES RD OSHKOSH WI 54904 -6873 Telephone Number 920-589-4014 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Per e andyphof Inspection (i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),y our Nam 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. 1 City of Oshkosh Inspection Services Division ((2 P O Box 1130 1 . .\ /4 Oshkosh,WI 54903-1130 G Phone:(920)236-5050 L' Fax:(920)236-5084 2 4-!( I o HKo Plumbing Permit Application ON r"F,vATFF 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 I ou are a contractor 'artici.atin. in the Permit Fee Account S stem and have ade,uate unds check here i ou want this processed to Ough our account I I **Advisory-For applicable projects, an Electrical Installation Verification by the Contractor or Homeowner(for installations allowed to be performed by the homeofo wnneer)must be submitted Electrical 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 2260i; 4I6r L cJ 1 QTY Value(Including labor and materials) 71-6c22 Date 2 • Owner Sit-r- (Aktmat) Contractor ��GLA-ZE /L w,t❑Single Family ❑Duplex [] ut-Family s�t ❑Rental nCommercial ❑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 Shame Sink Site Drain Toilet __ Garage FD Surgeons Sink Waihs Stn Kit Sink Local Waste Disposal Sterilizer Ice Chest Bar Sink RPZ Valve Dishwasher Breakrm Sink Comm Ice Maker Bidet Int Grease Trap Floor Drain Classrm Sink Urinal Hose Bibb _ Exam Sink Ext Grease Trap Beer Tap Eye Wash Stn Water Heater 1_ F Prep Sink 5/6-as C'Elect C 1 PwrVnt Dipper Well Deduct Meter Floor Sink Clothes Wshr Drink Fntn Wtr Sewer Mtr Hand Sink Wash Fntn Lndry Tray _ Lab Sink Wtr Usage Mtr Catch Basin Misc Fixtures Electric Contractor(for projects not requiring an EIV Form) Use/Nature of Work - Cp_:- 0 ,a 1_ 6 ! 0 Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service 06/09