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Home My WebLink About2013-Plumbing (water heater) CITY OF OSHKOSH No 154559 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 127 W SOUTH PARK AVE Owner EVELYN M HOETSCHL 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 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 Use/Nature SFR/REPLACE POWER VENT WATER HEATER,EIV SIGNED BY T RUCK ELECTRIC **check#12578 of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 0303860000 Valuation $1,43 .00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided Issued By av 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. 1.166. J. it'll IV.JVnm v& . . v. vvn.wvn ..•v. .v. ,. s. ..-. . . ... . City of Oshkosh Inspection Services Division P0Box1130 Oshkosh,W1 54903.1130 , ® Phone:(920)236-5050 �j tf � � Fax (920)235.5084 _/ �a, w tt Plumbing Permit Application 1 hereby apply for a penult 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 fbe(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$100.00 plus the normal permit fee,which ever is greater. OR. 1 ore'ac.t r-c , •. ,:fi ,: n:: :ePerut'I1? s . ,u, it h,. ,.,,_ ,. NOfu►tds. rhe;kherg i .ou ,:Q t ells •.•r, .es:. d.t:_rou:h. our a . Bunt II **Advisory-For applicable projects, on Electrical Installation Verification(EXV)form,signed by the Electrical Contractor orRomeowner(for installations allowed to be performed by the homeowner)must be submitted with the permit application. Applications submitted without an ETV when such Is required,will not be processed for Permit Issuuance'and�w(iill bee returned for completion. // -�/n� /� o2 Z(i(,4.-u-''"��'! �ix ncludinglallborandmateriels) 1 /L v 600 Date / —/o O6J Job A.,ddrea+�.. Owine>r. /'411/4 _ Contractor W ,a,. .. tillidgle Family rinuplex [llYlultti-Family :Rental ❑!Comtnercial ■Industrial Number of Fixtures: Bathtub Sump Pump -_-r_ Plaster Sink Roof Drain Shower Sim.5umplPttrnp Scullery Sink Sods I)sp Whirlpool Water Softener Service Sink Coffee Mu Lavatory Stendplpe Rec Sbamp Sink Site Drain Toilet Garage FD SnrgeonsSink Wars Sin Kit Sink Local Waste Sterilizer Tee Chest Disposal _ Bar Sink a?Zv Valve Comm lee Maker Dishwasher Breaker Sink 'Bidet ]nt Grease Trap Ciessrm Sink Urinal Ext Grease Trap ---- Floor Drain T'-"-` Wash Sin Hose Bibb Balm Sink — Beer Tap Eye Water Heater r P Prep Sink Dipper Well Deduct Meter U Ci<as 0 glect ,turVnt Floor Sink .Drink Fan Wit Sewer Mtr Clothes Wel* Hand Sink _—_. Wash Pi m Wit Usage Mtr Lndry Tray Lab Stnk Catch Basin Miro Fixtures lectric Contractor(for pro'ects not xeclui in($� EiV Form) le/Nature of Work iaC&�c' . & a . i':_ i Size Material Type # , Conn.Type Sanitary Sewer . Storm Sewer ' . Water Service (3 U 0'6/09 City of Oshkosh Division of Inspection Services 215 Church Avenue PO Box 1130 Oshkosh WI 54903-1130 Office 920-236-5050 ON H WATE Fax 920-236-5084 Electric Installation Verification 7 -,7w}) Oke �—� I(We) (Electrical Contractor Name) 69 (Address) (City) (State)_ (Zip Code) have been contracted to perform electric installation work for \'%�. y //,/ (Name of p contracted to) at the following address: / ,u ,Cz- 6 (Address where work will be performed) The nature of the work consists of: (Check One or Describe the Nature of Work) Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser. Reconnection or new circuit for replacement Electric Water Heater or power vented water heater. Reconnection of the Service Entrance Cable,Meter Box, alterations to receptacles and lighting fixtures due to siding/soffit installation. Note: New Service Entrance Cables will require a separate permit. Reconnection or new circuit for the replacement of other permanently wired appliances/ fixtures. New circuit for the addition of A/C to an individual dwelling unit(house or the individual systems in a duplex or condominium), including required service electrical outlets. Other The value of this work is $ Off I hereby verify this work will be performed by an employee of this company and further verify the reconnection/installation will,be done in compliance with manufacturer and Electric code requirements. /1/e/ / Signature of Company Officer) (Print Nam of Off er) ( ate) 5/02