HomeMy WebLinkAbout0155576-Plumbing (water heater) � CITY OF OSHKOSH No 155576
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER .
Job Address 2327 ASHLAND ST Owner XAI VANG Create Date 05/10/2013
Contractor DRUCKS PLUMBING&HEATING CO INC Category 411 -Residential-Water Heaters Plan
Inspector Jerry Fabisch
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 FldWst 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 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
Use/Nature SFR/replacing water heater
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1517480000
Valuation $1,174.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided I
Issued By �+' �. Date 05/10l2013
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.
MAY-10-2013 12:42P FROM:DRUCKS PLUMBING C920)722-0651 T0:2365084 P.2
City of Oshkosh -
Inspection Services Division �
' P 0 Box 1130 �
� • � Oshkosh,Wl 549fl3-1130
' � �lione:(920)236-5050 • • •
Fax:(920)236-5084 �
• ON F WATER
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hercinafter described,the work to conform to the
Wisconsin State Plumbing Code, in the performonce of which all parties hereto agree to and are bound by said statutes.
• Applieation(s),and fee(s)can be brought to City Hall,Room 205 or mailed to Inspeetion Services,PO Box 1128,Os}ilcosh WI
54903-1126. Commencing work without pern�it(s)will result in fees being doubled or 5100.00 plus the normal permit fee,which ?:
ever is gros►ter.
OR
!/'vou are n confraclor particlpatfnQ in Ihe Permtt Fee Accoun� Svs�em and have adegua�e junds, check here
j�vou want Ihis.processed througli vour accounl rl
'`*Advisory•For applicable projccts, an Elcctrical Installation Y�cation(EI�form, signcd by ttu Electrical +
. . Contiractor or Homeowncr(for installations a�llowed to be performed by tlie homeowner)must bc submitted
with the permit application. Applications submitted withoat an EN when snc1�is rcquircd, will not be
proccssed for Perinit Issua.nce and will be retumed for completion.
Job Address 2 3Z� �S�► lo�.� S�' VR�Ue(Includine lebor nnd mstcrials) ��,Z�� Date S�/�-/3
Otvuer X�� V�'*��► Contractor 1���,K's p/�,..bn✓4
(�fogto Fumily ❑Duplex ❑Multi-Famify ❑Rental ❑Commcrclal []Industria!
Number of Fixtures:
BathNb Sump Pump Plester Sink Roof Drain
Shower San,3ump/Pump Scullery Slnk Sode Disp
Whlrlpool Waier Soflener Service Sink CoRa Mkr
Levatory Standplpe Rec Shamp Siak Site Drein
Tollet C3arage�D Surgeons Sink Waitrs S1n
Kit Sink Locnl Waste Steril¢er Ice Chat
Disposal H;r 3ink RPZ Velve Comm Ice Maker
Dish�wshu 1 Hreokrtn Slnk Bidct Inc Grease Trnp
Floor Drein Classrm 3ink Urinal Ext GRese Trep
fiose Iiibb Exom Sink Boa Tep Eye Wesh Stn '
Woter Heele� � F Prep Sink Dippu Well Ded�eet Meter
�Ou 0 EIec10 PwrVnt Floor Sfnk Arink Fnln Wv Sewv MU
Clothes\yshr Haod Sfnk Wesh Fntn Wu Usage Mtr
Lndry Trvy Lab Sink Calch Besin Misc Fixmres
. �
i� �' �� '
�lectric Contractor(for proJects not requiring an EIV Form)
Use/Nature of Work
Size Material Type _ � Conn.Type
Sanitary Sewer :
Storm Sewer
Water Service
06/09 ;