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Home My WebLink About2013-Plumbing (water heater) � CITY OF OSHKOSH No 155577 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1698 RIVER MILL RD Owner DEBRAA TREMBLE 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 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 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/water heater replacement of Work . Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1224150000 Valuation $550.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided I Issued By � c�— Date 05/10/2013 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 314APPLETON 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.3 City of Oshkosh • lnspecNon Services Division � ' P 0 Box 1130 � • � � Oshkosh,WI 54903-1130 ' � �tione:(920)236-SO50 • • • Fax;(920)236-5084 - ON NE WATEN Plumbing Permit Application t hereby apply for a permit to do and install the following plumbing on the premises hereinafter described,the work to conform to the : Wisconsin State Plumbing Code, in the performance of which nll pnrties hereto Agree to and are bound by said statutes. • Application(s)�and fee(s)c�ui be brought to City Hall,Room 205 or mailed to inspcction Services,PO Box 1128,Oshkosh Wl 54903•1128. Commencing work without permit(s)will result in fecs being doubled or$100.00 plus tha normal permit fee,which ` ever is greater. OR /lvou are a contractor oar!!clpaling fn lhe Permit Fee Accounl Svslem and have adequate tunds check here : jf yo�,want Ihis processed fhrou�vour nccounf n : *�Advisory-For applicable projects, an Electrical Installation Yerification(EI�form, signed by the Electrieal : , Contractos or Homeowner(for installations allowed to be perfor:ned by the homcowner)must be submitted witL the permit upplication. Applications sabmitted without an EIV when such is zequired, will not be processed for Permit Issuance and will be returned for completion. Job Address � ��8 R�� M�� /'u VAIUC(Including Iabor end rtnteriuls) SS�� Dat� S'10^�3 Owner �b ��'"'6/� Co�itractor vr�rr.K'S ��.,�,-�� 8S'iagle Fnmily ❑Duplex ❑Multi-Family ❑RentAi ❑Commercial QIAdustrial Numbcr of Fixtures: Bothtub Sump Pump PlastccSink RoofDtain 5hower Snn Sump/Pump Scullery Sink Sode Disp ' Whlrlpool Wnter SoRener Service Slnk Coffee Mkr Levetory S�andpipe Rec Sl�amp Sink Sitc Dro1n Toile� Onrnge PD Surgeons Sink Waitrs Se� Kit Sink Local Weste S�crilizer Ice Chat Diaposel Har Sink Rl''L Valve Comm Ia Meket D'uhwavher Brenkrm Siiilc Bidet Int Grease Trap Floor Drein CIBJSlrt1 S111I� Urinul �c cR�e r�p Hose Bibb Exnm Slnk Heer Tap Lye W�sh Stn We[cr Heeter � F Prep Slnk Dipper Well Deduct Meter : 0 Ga�0 Elxt,�'pwrVnt Floor Sink Drink Fntr� Wtr Sewu Mtr Clolhea Wshr Hond Slnk Wesh Fntn WtrUssgeMtr I.ndry Troy Lab Slnk Cntch Bnsin Misc FlxWres . � �� ' '' . Efectric Contrlctor (for projccts not rcquiring an EIV Form) Usc/Nature of Work Size Material Type �! Conn.Type Sanitary Sewcr St�rm Sewer Water Secvice 06/09 !