HomeMy WebLinkAbout0155620-Plumbing (water softener) /�`� CITY OF OSHKOSH No 155620
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2460 ARCADIAAVE Owner DORIS J VOORHEES REV LIVING TRUST Create Date 05/14/2013
Contractor DRUCKS PLUMBING&HEATING CO INC Category 410-Residential-Interior 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. p
Toilet 0 Water Softner 1 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
Water Heater 0
Use/Nature FR!INSTALL WATER SOFTENER "debit acct
of Work
� �
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1312060000
Valuation $1,233.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided �,
Issued By Date 05/14l2013
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
AgenbOwner
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.
Y-13-z013 11:45A FROM:DRUCKS PLLA�16ING C920)722-0651 T0:2365084 P.1
Ciry of Oshkosh . ,
Inspection Services Dlvision �
' P 0 Box 1130 ' �
� � Oshkosh�WI 54903-1130
� �hone:(920)236-SO50 • •
Fax:(920)136-5084
• ON A Eii
Plumbing Permit Application
1 hereby apply for a permit to do and instail the following plumbing on the premises hereinaRer described,the work to conform to the
Wisconsin State Plumbing Code,in the performs�nce of which all purties hereto agree to and are bound by said stntutes,
• Applicntion(s)and fee(s)can be brought to City Hall,Room 205 or mailcd to inspection Services,PO Box 1128,Oshkosh Wl
54903-1128. Commencing work without permit(s)will result in fees being doubled or S100.00 plus d�e normal permit fee,whlch
over is greater.
OR
!„Lvou are a conlraclorpar!lcinalfnQ !n the Permtl Fee Accoun� Svstem and have adeaua►e tunds. chec�k here
�f y,Qu want Ihis processed lhrou�h vour account n
'`*Advisory-For applic�ble prnjects, an Electrical Installatioa V�cation(EI�form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be sabmitted
with the permit application. Applications snbmitted witiiont an EIV whea snch is reqnired, will not be
processed for Permit Issuance and will be rcturned for compledon.
Job Address 2�G0 /'1►�CaG�i a �V'C• VAIUB(Includingleborondrtnteriels) � Z33� Date S�3—/3
Owner �oNS {/oo,-h«s Contractor ��u�[t S �rj
�3Tngle Family �Duplex ❑Multi-Family ORentai ❑Commercial ❑ ndustrlAl
Number of Fixtures:
Hathwb Sump Pump PlestetSink RoofDrnin
Shower Snn.Sump/Pump Scullery Slnk Soda pisp
Whirlpool Woter SoRener ___t___ Servia Sink Coffee Mkr
Lnvnory Stnndpipe Rec Sliemp Sink Site Dnin
Toilet Ourage FD Surgcons Sink Waftrs Stn
Kit Siak Local Wa�t� Sterilaer Ice Chest
Diiposal Ha►Sink RPZ Volve Comm la Meker
Dishwesher Breakrm Sink Bidet Int Grente Trap
Floor Dnin Classrm Sink Urinal Ext Oceate Trap
Hose Bibb Exem Slnk 0eer Tep Cye W�sh Stn
W�ter Hoeter F Prep Sink Dipper Well Dednct Meter
�Oes D Elxt 0 PwrVnt Floor Sink Drink Fnm Wtr Sewer Mv
Clotha Wshr Hand Sink Wesh Fntn Wv Usage Mtr
l.ndry Trey Lab Sink Catch B�sln Misc Fixwrw
.
�� �' ,
�lectrie Contractor(for projects not requiring an EN Form)
Use/N�ture of Work
Size Material Type , # Conn.Type
Sanitary Sewer "
Storm Sewer
Water Service
06/09 :