HomeMy WebLinkAbout0155083 - Plumbing (sump pump) CITY OF OSHKOSH No 155083
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 920 E MELVIN AVE Owner JAMES/PATRICIA A WALDECKER Create Date 04/17/2013
Contractor D R GLAZE PLUMBING -_ Category 413-Res-Interior(Replacement Fixtures) 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 1 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 Scully 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 0
Use/Nature SFR/REPLACE SUMP PUMP **check#1216
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1109740000
Valuation $300. 0 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided
�
Issued By m Date 04/17/2013
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 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, 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.
Cito.of Osidosh
Irispe.:ten Senices'Division
PO Bin it i
Oshkosh.te t 54903-1 I F
Clyne. ?.012.6- ix
Fs KO):36-'.)S1 ( )ri -
Plumbing Permit Application
i h .by app-'d;o,a permit to c'.o and imstuui the fdlidsvin a p}mnb:ug Cu The pi irises liereinates de,enbed.the•.n 1;to a au.orm to the
W I:cor in Stare Phne.biug Code.in ti._perform:ce oflrt,ch ail panie,hereto agree to and are heisted',said statutes.
• Appiithitionisi and feel s I can be brought to Citc Ha„_Room 205 Di m.atled cc IdspectIon Sen Ices.PO Box 1 L'S Oshkosh ii i
54c1J3-1 ids.Comm enc on si nd:ssnthon'permit ill result it:fees hems doubted or slop do plus the conceal permit fee,,mind:
ever in greater.
OR �'-- _„'----
il r Oil a CC tc+ cipa rr , t,r.P +n,rF CODIlli S r,li❑i, i -_acfequ,.c Ergs ., -ilk C,,lieu ///
.,Advisory-For applicable projects,an Electrical Installation Verification(EIV)form,signed by the Electrical � 14 (-216
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted I ((((J
with the permit application. Applications submitted without an EH/when such is required,will not be
processed for Permit Issuance and will be returned for completion. `
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fob.address°2(`E tfali44_A(/I Value■,ac a I;,.aria mai "SOO. '' Date l l°l13
Ossner 4 pA(►r i,TAL .u<eTC Contractor g G(A -t lLNMi j i&
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❑
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Single Family LiDuplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial //
Number of Fixtures:
af,:vh ,csrp Pump I Fa,,,',et lc:.f is',, `
S5,,,., Sao> e Prue_ ..._ ,,.at!,,:Star Soda Doc
t er i...gat .r;; _.. c==111a
-....
La,a'.::r- S:s:..dcipe R., --.. ',Lamp .111i.. ate DImr∎
Tntet -...... boo eFD .,,uS.
Dsvo�2 9 rw:,t
o.it,a;t..r arcO.r;a s,5. BA, ntC,ss, -tea
F:cc�ikuu Cia,sm Silk "r-at F.0-nase Trap
H =3ibr c Sink :e-:Tap 7.r 7:37;?S¢
F 1R_ Dipper'.volt _._._ D u._t`,`e,,;
�.T } ate. 'p\,n�^
C s E.,7 Pr's'," t ■,.,, 'hick Fnsa t �..n...._.
Rand Sins, Wasti F;r:r, - Sat\r-•
i d. _ Lab Saki.- Ca,h 3.,,.,. .__ Fescue.
Electric Contractor(for projects not requiring an FIN'Form)
Use 1 Nature of Work 26344i:c Stim4P J p t et
i __--_. --
Size '<taieral lope - Corm_Tspe
Jan star,Sesc er
Storm Sec,'t
\pater Gerosee