HomeMy WebLinkAbout0155952-Plumbing (water heater) � CITY OF OSHKOSH No 155952
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1475 MARICOPA DR Owner MARY G KNUDSEN Create Date O6/04/2013
Contractor DRUCKS PLUMBING&HEATING CO INC 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 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
Disposai 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 'Replace water heater
of Work
I
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcei Id#
1319260000
Valuation $1,070.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided I
Issued By Date O6/04/2013
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 worlc
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.
-4-z013 07:41A FROM:DRUCKS PLUMBING C920)722-0651 T0:2365084 P.1
Ciry of Oslikosh • , , �
Inspection Services Division ,
PoaoX �i3o �
� � Oshkosh�WJ 54903-1130
' �tione:(920)236-SOSO • •
Fax:(920)236-5084
ON E WATEiI
� Plumbing Permit Application
I hereby apply for a permit to do snd install the following plumbing on the premises hereinafter described,the work to conform to the
Wisconsln State Plumbing Code,in the performance of�vhich all parties hereto agree to and are bound by said statutes.
• Application(s)and fee(s)can be brought to City Hall,Room 205 or mailod to Inspection Servic�s,PO Box 1128,Oshkosh Wl
54903-1128. Commencing work without permit(s)wi(I result in fees being doubled or$100.00 plus the normal permit fee,which
ever is greater.
OR
�f vou nre a conrraclor par�lc atfng tn the Permlt Fee Accoun� Svslem nnd have adeuuate funds check here
�vou wan! lhis nrocessed �hrough your account n
**Advisory-For applicable projects, an Electrical Iattallation Verification(EI�form, signed by thc Electrical
. Contractor or Iiomeowner(for iastallations allowcd to bc performcd by tlie homeowner)mast 6e snbmitted
with tho persn�t application. Applicatlons snbmitted withont an EIV when snch is required,wi11 not be
prncessed for Permit Issnanee and will be retarned for completion.
Job Address � I�� ��`r i ��� VA�UC(Includinglebornndrtr�teriels) r07� Date �o'y'�3
Otivner M� l<Nuz1 so� Contractor '����KS l��br�
Single Family Duplex ❑Multi-Family ❑Rental ❑Cmnmcrcial Industriu!
Numbcr of Fixtures:
Bethwb Sump Pump Plester Sink Roof Drain
Shower Snn.Sump/Pump Scullery Sink Soda D'up
�y�,s�p�� Waeer SoRener Service Sink CoRee Mkr :
Lsvatory Slandpipe Rec 5hamp Sin� Site Drein
ToilU Onrege FD Surgeons Sink Wai�s�++
Kic Sink Locn�woste sceri��zer Ice Cnest
Disposaf 'Bor Sink RPZ Valve Comm Ice Maket
Di�hwoaher Brenkrm Sink Didet Int Grcase Trep
Floor Drain Classrm Sink Urinal Fact G�ea�e Tmp
Hoso Bibb ��S��k Beu Top Eye Wash Stn
Weter Hentor _,L F Prep Sink Dipper Well Deduct Meta
�}a�0 Elat 0 PwrVnt Floor S1nk Drink Fnon Wv Sawer Mtr
Clothu Wshr Flund Sink Wesh Fntn WV Usege Mtr .
l.ndry Trey Leb Sink Catch Bosin Misc Fixwres
�
,� �i '
Eleetrle Contractor (for projects not requiring fln EIV Form)
Use/Nature of Work ,
Size Material Type , # Conn.Type
Sanitary Sewer :
Storm Sewer
Water Service
06/09