HomeMy WebLinkAbout0156052-Plumbing (water heater) /�"� CITY OF OSHKOSH s�F;Pd��F� 0 156052
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORP�12�3
ON THE WATER
��ATE
Job Address 908 W BENT AVE Owner CRYSTAL C RAYBERN Create Date 06/05l2013
Contractor DRUCKS PLUMBING&HEATING CO INC Category 411 -Residential-Water Heaters Plan
Inspector Jon Mueller
Bathtub 0 Clothes Wshr 0 Classrm Sink 0 Surgeo�s 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. � 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 SFR!REPLACE GAS WATER HEATER "debit acct
of Work
""PENDING DEPOSIT TO FEE ACCOUNT**
i
� �
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1207550000
Valuation $1,070.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided I
Issued By ,� Date 06/07/2013
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 02:14P FROM:DRUCKS PLUMBING C920)7z2-0651 T0:2365084 P.2
Z'j 3Y`I Y
City of Oslilcosh . :
Iuspection Services Division �
' P 0 Box 1 l30 ' �
� � Os�lcosh�W154903•1130
' �'tionc:(920)236-SO50 • -
Fnx:(920)236•5084
� ' ON HE WATER
Plumbing Permit Application
I hereby appiy for o permit to do and install U�e following plumbing on the premises hereinafter described,the work to conform to the
Wisconsin State Plumbing Code,in the performance of which all parties hereto agree to and are bound by said statutes.
• Application(s)and fee(s)cen be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128,Oshkosh Wl
54903-1128, Commencing work without permit(s)will result in fees being doubled or 5100.00 plus d�e normal permit fee,which �
ever is greater.
OR
!f vou are a con/ractar aD rlle%P !n � Permrl F,�e Aceounr Sys�e�,r ond have adeQun�e �unds check here
jf You wanl �hts nrocessed (hrough Your nccounl (—I
**Advisory-Far applicable projccts, an Elecuical I�tallation VeriFcation(EI�fonu, signed by tlie Electrlcal
. Contractor or F�omeowaer(for in.stallations allowed to be performed by the homeowner)must be submitted
with the permit applicatiou. Applicatious snbmitted withont an EIV when such is rcquired,will n�t be
processcd for Permit Tssaance and will be rernmed for completion.
JobAddress �b8 W. Re�,� VllIUe(fncludingle6ornndmateriels) /O'�Z� Date�_Y^�3
Owaer C r'�5�-�� �a.-,6trN Contractor Arcre�e s
�ngle Family QDuplea ❑Multi-Family ❑Rental ❑Commerctal ❑Industrial
Number of Fixtures:
Bathmb Sump Pump Plest�r Sink Roof Droin
5hower San,Sump/Pump Scullery Sink Sode Disp
WA�tpool Wa�er SoRener Service 5ink Coffee Mkr
Lnv�wry Slendpipe Rec Shemp Sink Site Drain
Toflct Qungc�D Surgcona Sink Waitrs Stn
Kit Sink Locel Waste Swil¢tr Ice Chut
Dbposal Bar Sink RPZ Volve Comm ice Mnker
Dishwnsher ` Breakrm Sink Bidu Int Gtease Trop
Floor Drain Classrm Sink Urinal Ext C3rease Trap
Hose Bibb Exam Slnk Beer Tep �ye Wesh Stn
Water Hwter � F Prep S(nk Dipper Well Deduet Meter
B�Oa�0 Elat 0 PwrVnt Floor Slnk Drink I�nb Wtr Sewer Ma
Clolhw Wshr Hnnd$ink Wesh Fnln Wlr Usege Mtr
Lndry Trey Leb Sink Cetch Basin Misc Flxmres
�, �i .` ,
Electrlc Contractor(far projects not requiring an EN Form)
Use/Nature of Work
Size Material Type . # Conn.Type
Sanilery Sewer
Storm Sewer
Wnter Service
06/09