HomeMy WebLinkAbout0156100-Plumbing (water heater) /�"� CITY OF OSHKOSH No 156100
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1732 EVANS ST Owner TERRY L RUCKS Create Date 06/11/2013
Contractor DRUCKS PLUMBING&HEATING CO INC Category 446-Commercial-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. p
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 4nt 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
Wate�Heater 1
Use/Nature �Replace water heater.*"""debit account*�**
of Work
�
Size Materiai Type # Conn.Type
Sanitary Sewer
StoRn Sewer
Water Service
Parcel Id#
1510780000
Valuation $460.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided' :
Issued By� Date 06/11/2013
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.
-11-2013 07:36A FROPI:DRUCKS PLL�IBING C920)7z2-0651 T0:2365084 P.1
2 33y5Z-
City of Oshkosh .
lnspecNon Servlces Division �
' P 0 Box 1130 ' �
� �� Oshkash�WI 54903-1130
�'tione:(920)236-5050 • -
Fax:(920)236-5084
- • ON T F WATEp
Piumbing Permit Application
I hereby apply for a permit to do nnd install the following plumbing on the premises hereinafter described,the work to conform to the
Wisconsin State Plumbing Code, in lhe performance of which all parties hereto agree to and are bound by said statutes.
• Application(s)and fee(s)can ba brought to Ciry Hall,Room 205 or mniled to Inspection Services,PO Box 1128,Oshkosh WI
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 '
j�vou are a conrraclo� a�pating !n 1he Permlt�'ee Accoun( Svs�em and have adeguate tunds. check here
iL o�wan( Ihfs�rocessed lhrough vour account n
*'�Advisory-For applicable projects, an EIecorical InstaIladvn Verification(EI� form, signed by thc Electrical
Contractor or Homeowaer(for installations aIlowed to be performed by the homeowncr)must be sabmitted
with the petmit application. Applications sabmitted without an EN when snch is reqnired,will not be
proccssed for Permit Issaance and will be returned for completion.
JobAddress 1732 E��s Valuepn�i�a�,�iano�o,�a�,�iois� `��pee Datc (o'll-l3
Owuer T���7 R�.KS Contractor �'��Ks /�6nu
QSingle Family �Duplex [�Multi-Fomily ORental �Commercial Indnstrial
Number of Fixtures:
6a�hab Sump Pump Plester Sink Roof Drain
Shower Sen.Sump/Pump Scullery Sink Soda Disp
Whldpool Water SoRener Service Sink CoRee Mkr
Lavetory Slendpipe ltec Shamp Sink Site Drefn
Toilet Cinrnge FD Surgeons Sink Woitra Sln
KitSink L.ocal W�stc Steriliur [ceChest
Disposel _Bur Sink RPZ Vnlve Comm Ice Mnker
Dlshwrshu Breekrm Sink Hidet Jnt Greave Trep
Floor Drain Classrm Sink Uriaal Ext Gaase Trap
Hoso Blbb Exam S�nk 9eer Tap Eye Wssh 5tr+
Weter Heater � F Prep Sink Oippu Well Deduct Meter
E Ciaa 0 Elett 0 PwrVnt Floor Slnk Drink Fnh� Wtr Sewer Mtr
Clothw Wshr Hand Sink Wesh Fnm WtrUsngeMtr
Lndry Tray Lab Sink Ca�h Basin Misc Pixwres
.
�+ �� ,
Electric Contractor (for projects not rcquiring an EN Form)
Use/Nature of Work
Size Material Type , # Conn.Type
Sanitary Sewer
Storm Sewer
Wuter Service
06/09