HomeMy WebLinkAbout0154731-Plumbing (water heater) � CITY OF OSHKOSH No 154731
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 935-943 N MAIN ST Owner MICKEY PROPERTIES INC Create Date 03/18/2013
Contractor DRUCKS PLUMBING 8 HEATING CO INC 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
Whiripool 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. p
Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. � 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 Serv 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 :
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Use/Nature � OMM(939-H&R BLOCK)/REPLACE ELECTRIC WATER HEATER **debit acct �
of Work i
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1006560000
Valuation $984.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided I
Issued By Date 03/18/2013
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
AgenUOwner
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.
MAR-18-2013 08:06A FROM:DRUCKS PLUMBING C920)7z2-0651 T0:2365084 P.2
3
5°��
City of OshJcosh .
Inspection Serviccs Division • �
' P 0 Box 1130 � �
� Oshkosh.WI 54903-1130
�'lione:(92U)236-5050 -
Fax:(920)236-5084 �
' ON HR ATER
Plumbing Permit Appiication
I hereby epply for a permit to do and install the foilowing plumbing on the premises hereinafter described,the work to conform to the
W isconsin State Plumbing Code,in the pedormance of which all parties hereto agree to and ore bound by said statutes.
• Application(s)and fee(s)can be brought to City Hoil,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 grenter.
OR
If vou are a contraclor oartic/nallne rn !he Permi! Fee Account Syslem and h4ve adeauate funds check here
�vou want lhfs processed �hrouPh vour account (�l
'`'`Advisory-For applicable projects, aa Electrical Installation Verification(EI�form, signed by the Electrical
Contiactor or Fiomeowner(for installations aIlowed to be performed by the homeowner)must be snbmitted
with the permit application. Applications snbmitted witliont an EN wven snch is reqnired, will not be
processed for Permit Issuance and will be returned for completion.
Job Address p39 N�/ha� �• VAIUB(lncludinglaborand matcrials) �g y °° Date .3'l�'�3
Owner I-��-� �31uck C�enan�� Contractor �ur�c S
❑Single Family ❑Duplex ❑Mniti-Family QRental �Eommercial []Industtial
Number of Fixtures:
Bnthwb Sump Pump Plaster 5i�k Roof Drein
Shower San.Sump/Pump Scullery 5ink Soda D'up
Whirlpool Water Sotlena Service SicJc CofCa Mkr
Lavetory Standpfpe Rec Shamp Sink Slte Drcln
ToilU Oarege FD Surseons Stnk Waitn S�
Kit Sink I.ocal Weste Sterilizcr ]ce Chcst
Disposal Bar Sink RPZ Valve Comm Ice Malcer
DishWmsher Breakrm Slnk Bidet Int Crrene Trap
Fioor Drain Classrm Sink Urinal Fxt GteaSe Tnp
Hose Blbb Exaa►Slnk Beu Tap Eye Wneh Stn
Watu ter � ' F Prop Sink Dippu Well Deduct Meter .
�Cns�lf Elcet 0 PwrVnt Floor Sink Drink Fntr� Wtr Sewer Mtr
Clotha Wshr Hand Sink Wnsh Fntn Wtr Usaee Mtr
Lndry Trty Lob Sink Cutch Desin Mlsc Ptxuires
�� .
Electric Contractor(for projects not requiring an EN Form)
Use/Natare of Work
Size Material Type , # Conn,Type
Sanitary Sewer '
Storm Sewer
Water Service
06/09
Received Time Mar, 18, 2013 8: 06AM No, 2544 �