HomeMy WebLinkAbout0155953-Plumbing (sump pump) � CITY OF OSHKOSH No 155953 !
OSHKOSH PLUMBING PERMIT -APPUCATION AND RECORD .
ON THE WATER
Job Address 1670 COVINGTON DR Owner JOHN T/DEBRA J CUTHBERT Create Date 06/04/2013
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 1 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. 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 0
Use/Nature Sump pump
of Work
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Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1317050000
Valuation $1,479.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided
Issued By Date 06/04/2013
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 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.
JUN-4-2013 07:41A FROM:DRUCKS PLUMBING C920)722-0651 T0:2365084 P.2 '
ti5
Ciry of Oslilcosh • . .�
lnspection Serviccs Division , �
' P 0 Box 1130
,� t� Oshkosh�WI 54903-1130
' alione:(920)236-SOSO • •
Fsx:(920)236•5084 �-�
ON HE WATEp
� Plumbing Permit Application
1 hereby apply for u permit to do and instnli tha following plumbing on the premises hereinafter dcscribed,the work to conform to the
Wisconsin Stute Plumbing Code,in the performance ofwhich all parties hereto agree to and aze bound by said statutes.
• Application(s)and fee(s)ean bc brought to City Holl,Room 205 or mailed to Inspection Services,PO Box 1128,Oshkosh WI
54903-i 128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the normal permit fee,which
evcr is greater.
OR
�,[vou are a contraclor�prllc�pnl�n� in Ihe Permll Fee Ar�ox�„� •S��rp.�, nnil l�nva ndenuate /r�nds. check here
jf vou want rhis processed fhrough vour a coun! �1 :
**Advisory•For applieable projects, an Elec�ical InstalIation Verification(EIV)form, signcd by tlic Electrical
Contractor orHomeowner(for installations�il�wed to be performed by the homeowner)mastbe snbmitted
with the peimit application. Applications snbmitted withont an EIV when snch is reqnired, will not bc
processed for Permit Issuance and will be returned for compledon.
Job AddressJ�o�O Co� �INS� � VAIl1C(lncludingleborsndmaterials) 1y79� Datc 6�Y-�3
Owner �0��1 cv�'� �ei'�" Contrlctor ��uGKS Ql�.�.b�
�Siagle Family �Duplex ❑Multi-Family ❑Rcntal ❑Commercia! QIndastrial
Number of Fixtures:
Bethmb Sump Pump � Plnstcr Slnk Roof Drrin
Showcr Sen,Sump/Pump Scullery Sink Soda Disp
Whldpool Water SoRener Service Sink CotTee Mkr
Lev�tory Stondpipe Rec Shamp Si�k Si�e Droln
Toile! Qarnge FD Surgcom Sink Wu�trt SN
Kit Sink Locol Waste Sterilizer [ce Chesl
Dieposel Bar Sink RPZ Valve Comm Ice Meker
D'uhwasher ` Broakrm Slnk DidU lnt C3reaseTnp
Floor Drain Classrm Sink Urinol Ext G�edse Tr+p
Hosa Hlbb Paeem Slnk Hecr Tup L'ye Wmh Sm
Weter Heotor F Prep Slnk Dipper Well Deduct Meter
O Ci9a 0 Elect 0 PwrVnt Floor Slnk Drink Fnm Wtr Sewer Mtr
Clothw Wshr Hand Sink Wesh Fntn Wtr Usage Mtr
I.ndry Trey Lab 5ink Cetch Hosin Misc Plxwres
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Electrie Contractor (for projects not requiring an EIV Form)
Use/Nature of Work
Size Material Type # Conn.Typc
Sanilary Sewer
Storm Sewer
Water Scrvice
oeios