HomeMy WebLinkAbout0156186-Plumbing (water heater) �
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� CITY OF OSHKOSH No 156186 �
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 920 E MELVIN AVE Owner JAMES/PATRICIA A WALDECKER Create Date 06/14/2013
Contractor D R GLAZE PLUMBING 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 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 water heater
of Work
''*"check#1223'�'
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Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1109740000
Valuation $875.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided I
Issued By �� Date O6/14/2013
In the perfortnance 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 1865 JAMES RD OSHKOSH WI 54904 -6873 Telephone Number 920-589-4014
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.
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Phone f4?0) .i6-Stl5r1 I�{�
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Plurnbing Permit Apptication
S hereU�:ryp?;;ror a pern:i[�o do avd�istall tLr foli�R-�e piumbing on the}nemises here'viafter desciibeu the:5�rk to�nfo�7r.to dee
R'iscor.>ic Sta�:P,usb:ng Code.;n the per4ormaace of��ich ail part:es hereta a3ree to v±d az^boi:ud U��said statutes.
• AyN'iica[.on(sl a�id feei sl c�n be brwehf ta Ch�Aalt,Rorn�?fi5 or n2allec!to Inspec(r�si Sen?:es.�Bo�3 lZS.O:hkosh R"I
Kd903-t;15,Comme�sinn a-oii:«•ichout pzntiK�i��'�11 cz�:lt vx izes Uemg doublad or 3tGfi.Oti plus tl�e urnmal peiFUit fer,«�I�ich �
e+��er is¢reater.
OR
f i n ..�;.2,..o��tr�ct� nn�ticip�rritg_;.r+,rlse.Permit F€. zct__ou St.te;.�a �f i=gre_ �eq�r�tr 1 e rds. ri�gc�/�g�.g - .
rf}ou�su+ �;r.s f»-nccs e Rrrotaf �o:n-_ucGOa�tt_❑ -
*�Advisor}�-For applicable projects�an Eleetticat Installation Veri6cario�(EIV}form,signed by the Electrical �
Coatractor or Homeowner(for installalions allowed to be paformed bs the homeowner)must be submitted / � J�Z�
with the permit applieatian. AQQfications submitted without an EIV when such is reqtured,n�ill not be l (
processed for Permii Issuance and R-ill be rehsned far completion. �
Jobaddress�,E/'I�J/�__-- �'alaei:��:u��a�a���a,�m�:;�.��J'/�__ Date�?.��, � ��
Onner T+�1��7f1 �i4f�fCC-fQ.,'� Contractor �1` ��z'� ��� �
Singie Famlle QDu��lex O�Iulti-Fami1� ❑Reatal ❑Commercial ❑Indastrial
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lumber of Fistures:
3at:mE __ Si�eip Pamy __— Fa_.ta Siaw __— .,cc:Dran ___
51��'�;.� ,... .... San.SvnpR:mF -..... ,.. Sculia-:ink ...... icati��sp ....... .
lld_.pr�! ci'atn5c°.enx �en=:ztiv:. ____ Cwl',°\t.6 . :
� �:a:rn- .._. SLU;�ipe�ec _..... SL�,'}inR .... irteDrs:. .... .. :
7o-.irt Gaa:eFD .__. Si_e:szli. __.. "�a.s.::, . �:
1;+::�c: �crn\�-e.tc 5t�_i:i-r i�:-�_hra: ....... '.�-
............ .._.. .
D�s£`�'�.i ... 3sS:nk . .. RPZ'.-ad�:. ...._. Cc,..a.�cc.t:akcr . ....
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n..r,�sa�R ar-�:,s� �,a-� . �
F.,�r D,.�n � Cassrn&eF. ._. �naai . °c�Grres•Trap . -
H.s.3�b� -xam Sink ...._.___. 'n,,.r� ._.. ��,e��a;.^.Sm .. �:
, ,r�.ei•.. �..... FPr�Si,�,� ___ Di�er`a'�1t __— Ded:cs\;etd- _—._
� ! r,r�., FtoPs-,% ��,:xF„� «�sr =� �UIV � � �0��
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h;:-m= ;.s�aiM . ._ C.v:,`.H:�in ..... W s:Futwes ..
Electric Contractor(for projects not requiring an ER'Forni) DEPART;IIE\T OF
/� C0�1>IU\I'TY i?EVELOP�tE.VT
i'set\aiureo[«"ork �k�.�KC �/�O F�� INSPECTIL`\�ERVICESDI�'ISION
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