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Home My WebLink About0155829-Plumbing (water heater) � F' /�"� CITY OF OSHKOSH No 155829 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1934 MINERVA ST Owner JOEL E/KAREN J LUNDT Create Date 05/28/2013 Contractor RAUSCH PLUMBING 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 FINWst Sink 0 Bidet 0 Site Drain 0 Misc. p Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. � 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 FR/REPLACE GAS WATER HEATER '"check#27654 of Work I I � � _J Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1213450000 Valuation $2 .00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided ; Issued By Date 05/28/2013 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 1606 W HASKEL ST,STE A APPLETON WI 54914 -5032 Telephone Number 920-830-9222 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. 1ZECE�VE� City of Oshkosh � Inspection Services Division MAY 2 4 2013 � P 0 Box 1130 � Oshk��sh, WI 54903-1130 1'hone: (920)236-5050 pEPARTAiE�T OF O�I I�O�u i�a�: (920)23G-5084 CO�I�tU�TT4'AEVELOP31EVT ►� I I iNSPECTi(3�6£R!'ICES Df�'IS10. ori rHF wnTFR Plumbing Permit Application I hereby apply for a pennit to do and 'v�stall the following plumbing on the premises hereinafter described, the work to conform to the Wisconsin State Plumbing Code, in the perforynance of which all parties hereto agree to and are bound by said statutes. • App�ication(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services, PO Box I 128, Oshkosh WI 54903-1128. Co►nmencing work without permit(s)will result in fees being doubled or$100.00 plus the nonnal pertnit fee,which ever is greater. OR ]L��t� u�e U CO/lU QCl01�J[1J�ICIpQl17lQ lYl the Permit Fee Accoiu�t Svsteni and have adeai�ate_rtrnds check here i1� ui� irnnt ihis�rocessed throuQh vou�• acceunt ** Advisory-For applicable projects, an Electrical Installation Verification(EIV) form, signed by the Electrical Cai.tractor or Homeo.�ricr(for installations allowed to be performed by the homeowner)mnst Ue submitted witli the perniit application. Applications submitted without an EIV when such is required, will not be processed for Pernut Issuance and will be returned for completion. ,JOb f�(ICII'CSS /�7 e�� Va�Ue(Including labor and materials) � ��l� �ate � � � � � , � Contractor ��S t��. O��ncr L ( 1��;�---- [�Siugle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial Number of Fixtures: Rathtub Sump Pump Plaster Sink Roof Drain Shmccr San.Sump/Pump _ Scullery Sink �oda Disp �Vhirlpool Water Softener Service Sink CoCfee Mkr : Lacatorr Standpipe Rec Shamp Sink Site Urain Toiict Garage FD Surgeons Sink ��iaitrs Stn Kit Cink Local Waste Sterilizer Ice Chest i)isposal Bar Sink RPZ Valve Comm Ice Maker llish��ashcr Breakrm Sink Bidet Jnt Grease Trap Flonr Drain Classnn Sink Urinal };xt Grease Trap Ilosc Ribb Exam Sink Beer Tap P,ye Wash Stn \Vater I Ieater F Prep Sink Dipper Well T?educt Meter __ �Gas I]Elect t 1 P�vrVnt Floor Sink Drink Fntn �Ntr Sewer Mtr Cl�ithcs Wshr Iland Sink Wash Fntn j`�tr Usage Mtr _ Lndry'fYay Lab Sink Catch Basin ��Tisc Fixtures r I;lcctric Contractor (for rojects not requiring an EIV Form) Usc / Nature of Work �GQ. �G' v�e�'� � .�`� Size Material Type # Conn. Type Sanitary Sewer Stonn Sewer Water Service 06/q4