HomeMy WebLinkAbout0154560 - Plumbing (water heater) CITY OF OSHKOSH No 154560
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1710 ORCHARD CT Owner LAWRENCE/P A GAUGER Create Date 02/26/2013
Contractor M P KELLY 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 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
Use/Nature SFR/REPLACE GAS WATER HEATER **check#12578
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1323820000
Valuation $855.52 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided
Issued By 20110 Date 02/26/2013
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 665 N MAIN ST OSHKOSH WI 54901 -4431 Telephone Number 231-1750
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.
V66. IJ. LVII IV,I Vnm va l I vo vVnHVVI anvt G.V at," ••-• • • --
City of Oshkosh
Inspection Services Division
POBox1130
Oshkosk WI 54903.1130 , ®
Phone:(920)236-5050
Pax:(920)236-5084 iT frly O ■
Plumbing Permit Application
I hereby apply for a permit to do and install the-follovving plumbing on the premises hereinafter described,the work to conform to the
Wisconsin State Plumbing Code,in the perfonnance of which all patties hereto agree to and are bound by said statutes.
• Application(s)and fees)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 11280 Oshkosh WI
54903-1128. Commencing work without perrnn it(s)will result in fees being doubled or$100.00 plus the.normal permit fee,which
ever is greater.
OR
a ,,reac,ir, , i, .t.. ,. ,. c in. h.e.'er. It F:. i e,U. Se ■ edli. . ' !. ,._ :u["S a . ,_
If you wool this processad(rough,your account. ,
**Advisory-For applicable projects, an Electrical Installation Verification(I IJ)form,signed by the Eleatvieal
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
with the permit application. Applications submitted without nn EI V'when such Is required,will not be
processed for Permit Issuance'and w returned for completion,
Job Addy ) C TIC(Including labor and materiels) ,-�5/5,21— date r -� V
Owner. I ►�'..
o ..�.' _ ontractor 4,E.
g Family Duplex 4 DNlulti-Family [:Rental ❑Commercial 11 Industrial
Number of Fixtures:
Bathtub Sump.Pump Plaster Sink Roof Drain
Shower San.Sump/Pump Scullery Sink Soda Ditp
Whirlpool 'Water Softener Service Sink Coffee Mkr
Lavatory Standpipe Rec Sbamp Sink �_ Site Drain
Toilet Garage FD Surgeons Sink Wailrs Sin
Kit Sink Local Waste Sterilize toe Chest
Disposal _ Bar Sink RPZ'V*Ivo Comm lee Mal
Dishwasher Brealttm Sink 'Bidet lnt Gressel sp
Floor Drain CIISsnn Sink Urinal Ext Grease Trap
Htue Bibb Brant Sink Beer Tap Eye Wash Stn
Water / P Prep Sink Dipper Well Deduct Meter
p tilcct d.i'wrVnt Ptoor Sink Drink FM Wtr Sewer Mir
Clothes Wshr _ nand Sink Wash Pain Wor Usage Mir
LndryTOY Lab Sink Catch Basin /Aim Pixtures
lectric Contractor(foe'pr I'acts not.X gulf n EN Form),
le/Nature of Work .12 _/".1, ' A . _.. 1 A_ .±1W/f L
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer • •
..,, Ou-
Water Service .
0'6/09