HomeMy WebLinkAbout0156051-Plumbing (water heater) � CITY OF OSHKOSH No 156051
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1207 MERRITT AVE Owner DAVID F FISS Create Date 06/04/2013
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 FIr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. p
Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. 0 Fixtures
Kit Sink 0 Standp Rec
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 SFR/REPLACE GAS WATER HEATER **debit acct
of Work
"PENDING DEPOSIT TO FEE ACCOUNT"
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1100820000
Valuation $1,070.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided�i
Issued By Date 06l07/2013
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
AgenVOwner
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.
-4-2013 02:14P FROM:DRUCKS PLUMBING C9z0)722-0651 T0:2365084 P.1
233'�ls9
Ciry of Oshkosh .
Inspection Services Division - �
' P 0 Box 1130 ' �
� �� Oshkosh,WI 54903-1130
�lione:(920)236-SO50 • •
Fax;(920)236-5084
' ' ON NE WATER
Plumbing Permit Application
I hereby apply for a permit tv do and install the following plumbing on the premisas hereinafter described,the work to conform to tho
Wisconsin State Plumbing Code,in the performance of which all parties hereto agree to nnd are bound by seid statutes.
� Applicetion(s)and fee(s)can be brought to City Hall,Room 205 or mailed to lnspection Services,PO Box 1128,Oshkosh Wl
54903-1128. Commencing work wlthout permit(s)will result in fees being doubled or$100.00 plus the normal permit fee,which
ever is greater.
OR
!I vou are a conlractor parllclpalfne in Ihe Permll 1"ee Account Svslem and have adequale runds check here
(,[vou wan� �his processed through vour accoun� I-1
'""'Advisory-For applicable proJects, an Electrical Installation Verification(EI� form, signed by the EIcetricaY
• Contractor or Homeowner(for installations allowed to be performed by tlie homcowner)mnst be snbmitted
witlt the permit application. Applications su6mitted without an EIV when such is required, will not be
processed for Pe:mit Issnance aad will be retarned for completion.
00
Job Address 12 07 Me rrl-�-F Ave VSIUB(Including lebor and rtmterials) f o�o Date 6-y�s
Owner �c.�� �-�+ F��sS Contractor .c7�,��K s �h.w.6n�s
[�$fngle FAmily ❑Duplex j]Multi-Family ❑Rent�l ❑Commercinl QIndustrtAl
Number of Fixtures;
Uathwb Sump Pump Plaster Slnk RoofDnin
Shower San.Sump/Pump Scullery Sink Sode Dlsp
Whlrlpool Wntcr SoQener Servia Sink CoffxMkr
Lav�tory Slnndpipe Ree Shamp Sink Site Dreln
Toilet Quroge FD Surgeona Sink Wcitra Stn
Kit Sink Locnl Weste Sterilaer lee Chest
Dbposal Bar Sink RPZ Valve Comm Ice Meker
Dlshwesher Ereakrtn SinJc Bfdet int C3rense Trep
Floor Drain Clnssrtn Sink Urin�l Ext Gndse Tmp
Hose Hibb ��S�� Beer Tep Eye Wssh Stn
W r Heater � F Prep Sink Dipper Well Doduct Mcter
�Ges 0 Elect 0 PwrVnt Ftoor Slnk Drink Fntr� Wlr Sewer Mh
Clothe�Wshr Hend Slnk Wesh Fntn WtrUsegeMtr
Lndry Tmy Lab Sink Catch Basin MCsc Flxo�res
,� �i
.
Electric Contractor (far projects not requiring an EIV Form)
Usc/Nature of Work
Size Material Type , # Conn.Type
Sanitary Sewer �
Storm Sewer
Woter Service �
06/09