HomeMy WebLinkAbout0154984 - Plumbing (water heater) CITY OF OSHKOSH No 154984
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1545 ARBORETUM DR#219 Owner FLOYD R/MAVIS AANDERSON REV TRUST Create Date 04/09/2013
Contractor DENNEE PLUMBING LLC 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 CONDO/REPLACE ELECTRIC WATER HEATER **check#1303
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1223320000
Valuation $675.010 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided j
Issued By �iJ--J Date 04/09/2013
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 3512 S CHRISTOPER CT APPLETON WI 54915 -7093 Telephone Number 920-475-6595
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.
City of Oshkosh
Inspection Services Division
P O Box 1130 r g 3
Oshkosh,WI 54903-1130
Phone:(920)236-5050 r f n !
Fax:(920)236-5084 1 i ri
Plumbing Permit Application
•;, on the premises hereinafter descriibed,the work to confirm to the
I hereby apply for a permit to do and install the following plumbing
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 8100.00 plus the normal permit fee,which
ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds. check here
if you want this processed through your account n
**Advisory-For applicable projects,an Electrical Installadon Verification(EIV)torn,signed by the Electrical
Contractor or Homeowner(for installations allowed to be pcifb med by the iomeowner)must be submitted
with the permit application. Applications submitted without an EIV when such is required,will not be
processed for ee�Issuance Issoe and will be? for completion.
ion
Job Address jar b or of UM Value(Ineluttieg labor and ms. els) 7S:O 0 Date 0/80/3
Owner 1 1 oV Gt. / er.S(1 n V when suc1. c°_ P/irn bi'n` 5 ). A G
OSingle Family ! ODuplex 1Multi-Faaf ► DRentai OCommereisd EIndustrial
Number of Fixtures:
Bathtub Sump Pump Plaster Sink Roof Drain
Shower San.Sump/Pump Scullery Sink Soda
Whirlpool Water Softener Service Sink Coffee Mkr
Lavatory Standpipe Rec Stamp Sink Site Drain
Toilet Garage FD Surgeons Sink Wailes Stn
Kit Sink Local Waste Sterilizer Ice Chest
Disposal Bar Sink RPZ Valve Comm Ice Maker
Dishwasher Breaknn Sink Bidet Int Grease Trap
Floor Drain Ciassrm Sink Urinal Ext Grease Trap •
Hose gib Eram Sink Beer Tap Eye Wash Sin
Water Heater x F Prep Sink Dipper Well Deduct Meter
Q Gas$Sect 0 PwrVnt Floor Sink Drink Fran WIT Sewer MIT .
Clothes Wshr Hand Sink Wash Fain Wtr Usage Mir
Lucky Tray Lab Sink Catch Basin Misc Fixtures
Electric Contractor(for projects not requiring an EIV Form)
Use/Nature of Work
Size Material Type if Corm.Type
Sanitary Sewer
Storm Sewer
Water Service
06/09