HomeMy WebLinkAbout0155092 - Plumbing (water heater0 CITY OF OSHKOSH No 155092
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2070 WHITE SWAN DR Owner RICHARD UARLENE M ANDREWS REV TRUST Create Date 04/17/2013
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 GAS WATER HEATER **check#12657
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1523560000
Valuation $721.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided
Issued By 5 ' 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 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.
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City of Oshkosh
Inspection Services Division
P O Box 1130 RECEIVED
Oshkosh,WI 54903.1130
Phone:(920)236-5050 .
Pax:(920)236-5084 . Iffiringli APR 17 2013
Plumbing Permit Application DEPARTMENT OF
COMMUNITY DEVELOPMENT
1 hereby apply for a pennit to do and install the1bfoviing plumbing on the promises hereinafter described,the work to deitilittrirtelhoERVICES DIVISION
Wisconsin State Plumbing Code,in the performance of which all parties bereto'agree to and am bound by said statutes.
• Applicstion(s)and ftte(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**normal permit fee,which
over is greater.
OR.
, ,re•ac.,r _ f• .„ .1 : ,„ y t .: 8 .•er' t ' . f. ! . . L ig . .1..' • ' _ _i 3 9 :. . 45
if you want this yroaespad.ttirough,your account
**Axivisory-For applicable projects•, Oil Elec nlcal Installation Wrtittion(1 )form,signed by the Electrical.
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
with the permit application. Applications submitted without en it when such is required,will.not'be
processed fat Permit Issuance'and w be returned for'coompletlon,
4 /a,C/ e� `Zit n udin•labor and materiels .74/ •O0 Date ��y ,J
Job Addr . .:_: - E...��?�i['�ot s ) / rat
Owner'A I- ' d.e/ Contractor
' glo 'amity rinnplex OMutti-Family [Rental ❑Commerota.l II Industrial
Number of Fixtures:
Bathtub Sump Pump Plaster Sink ]tcot!)ratn
Shower , Sin.Sump/Pump Scullery Sink Soda Diip
Whirlpool ,M,_ Water Softener Savice•Sink Coffee Mk:
Lavatory _ Standpipe Rec Shamp Sink Site Drain
Toilet Garage FD Surgeons Sink Wants Sin
Kit Sink Local Waste ___w Sterilier _ Ice Chest
Disposal Bar Sink RPZValve Comm lee Maker
Dishwasher Broakmt Sink 'Bidet fat Oreas*T
Floor Drain Classrm Sink Urinal -_ Ext Grease Trap
Hass Bibb, Bxarn Sink Beer Tap Bye Wash Stn
�W,er�t cote: P Prep Sink Dipper Well Deduct Meter
LA ""p Elect tiff vrvnt Floor Sink .Drink thin Wtr Sewer Mir
Clothes Wshr Eland Sint Wash Run Wtr•Usage Mir
Lndry Tray Lab Sink Catch Basin Miso Fixture,
lectrie Contractor(fox p acts noire tljinan TV Po )
ie/Nature of Work a'e'Q C .i Ai
Size Material Type # , Conn.Type
Sanitary
.:ewer
Storm Sewer
Water Service O
06/09