HomeMy WebLinkAbout2013-Plumbing (water heater) �
� CITY OF OSHKOSH No 155954
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 908 WASHINGTON AVE Owner DEBORAH J KIEFER Create Date 06/04/2013
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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 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 Weil 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 E�ct 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
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1101240000
Valuation $1,130.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided I
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.
JI�J-4-2013 07:42A FROM:DRUCKS PLUMBING C920)722-0651 T0:2365084 P.3
L5
City of Oshkosh • . �
laspection Services Dlvision ,
P 0 Box 1 l30 �
• � Oshkosh,Wi 54903-1130
'' atione:(92U)236-5050 • � �
Fax:(920)236-5084
ON THE WATEf1
� � Plumbing Permit Application
I hercby appty for s permit to do and install the following piumbing on tl�e premises hereinafter dcscribed,the work to conform to the
Wisconsin State Plumbing Code, in the performance of which al1 parties hereto agree to and are bound by said statutes.
� Application(s).and fee(s)ean be brought to Ciry Hnll,Room 205 or maited to Inspection Sccvices,PO Box 1128,Oshkosh WI
� 54903-1126. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the normal permit fee,which
ever is greater,
OR
Ilvou are a conrr clor par/Tclnatfng !n rhe Perml� Fee Accounr Svs�em nnd hove adequare lunds check here
i�vou wanl Ihi.c.yrocessed /hrouPh vour accoun! (�
**Advisory-For applicable prnjccts, an Electrical Installation Verification(EI�form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by thc homeowaer)mnst bc sabmitted
witli thc pc�t application. Applieations sabmitted withont an EIV when snch is rcquired, will not be
processed for Permit Issaance and will be retarned far compleCion.
JobAddress��� ��'�'--�� Villll@(Includingleborandnmtwinls) � �� � Dat� ���^�3
O�vner �bb�e 9{1 e�er Contractor ���KS P�`""�^"f
�5ingle Famfly �Duplex ❑Multi-Family �Rental ❑Commcrci�l �Indastrial
Number of Fixtures:
Hothtub Sump Pump Plas�er Sink Roof Drain
Shower Snn.Sump/F'ump Scullery Sink Soda Disp
Whirlpool Weter So(tener Service Sink Coffoa 1d1cr
Levetory Stsndpipc Rec Shamp Sink Site Drnin
ToilU Quroge FD Surgeons Slnk Weim Stn
KilSink Locel Wesm Stuilizer IceChest
p���e� Sa Sink RPZ Valve Comm lce Mnker
Di�liw�her ` Breektm Sink Bidet 1nt C3re4seTrop
Floor Dnin Clossrm Sink Urinal Exc Grease T�np
Hosa Hlbb Exam Slnk Bau Tep Eye Wash Stn
Wot�r Hwter � F Ptep Sink Dippu Well DeOuct Meter
�Ge.t 0 Elxt D PwrVnt Floor Slnk Drink Fn�n Wtr Sewer Mv
Clothes Wshr Hnnd Sink Wuh Fntn Wtr Usaee Mtr
Lndry Trey Lab Sink Cetch Basin Misc Fixaues
�`
�� •� •
Electric Contractor(for projects not requiring an EIV Form)
Use/Nature of VVork
Size Material Type , f� Conn.Type
Snnitnry Sewer
Stonn Sewcr
Weter Service
O6/09