HomeMy WebLinkAbout0156296-Plumbing (water heater) � CITY OF OSHKOSH No 156296
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3013 SHADOW LN Owner GERALD/SADANO SALZER Create Date 06/19/2013
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
Whiripool 0 Sump Pump 0 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 0 San Sump/Pump 0 FldWst 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 D�ink 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/water heater
of Work
*"debit acct"'
� _J
Size Material Type # Conn.Type '
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1519626400
Valuation $1,070.00 Plan Approval __ $0.00 Permit Fees $30.00 ❑ Permit Voided'I
Issued By � Date O6/19/2013
v
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
Agent/Owner
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 specifed 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.
-19-2013 01:20P FROM:DRUCKS PLUMBING C9z0)722-0651 T0:2365084 P.1
'L � �_ _ ,
City of Oshkosh .
(nspectlon Services Division - �
' P 0 Box 1130 ' �
� j� Oshkosh�WI 54903-1130
btione:(920)236-SOSO • -
Fax;(920)236-5084
' ON H ATER
Plumbing Permit Application
I hereby apply for a permit to do and insta(1 the following plumbing on the premises hercinafter 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)mnd fee(s)enn be brought to City Halt,Room 205 or mailed to Inspection Scrvices,PO Box 1128,Oshkosh WI
54903-1128. Commencing work without pertnit(s)will result in fees being doubled or S 100.00 plus the norma!permit fee,which
ever is greater. .
OR
!I vou nre a conrractor narllclpn��ng rn Ihe Permit I'ee �Jccoun� System and h4ve adeauate hinds sheck here
([vou wanl Ihis proeessed lhrouPh vour accounl f-1
*''Advisory-For applicable projccts, an Elcctrical Iastallarion Verification(EI�form, signed by the EIectnical
Contractor or Homeowner(for installations allowed to be performed Uy the homeowner)must be snbmitted
with the pern�t application. Applications sabmitted witliout a.n EN when such is required,will not be
processed for Permit Issuance and will be retarned for completion.
Job Address 3 D l3 S�iadow LN. VaIUB(Includingleborandmsteriols) �070°=° Date -1 -1
Owner (rc�a.l�t S�lzer Contractor �Or✓c�e s P!�►.�loa.�
�'ingle Family ❑Duplex ❑Multi-Family �RentA! ❑Commercial �IQdustrial
Number of Fixtures:
Bathwb Sump Pump Plaster 3ink Roof Drain
Shower San.Sump/Pump Scullery Sink Sode Disp
Whirlpool Wnter SoR�ner Service Sink Coffee Mkr
Lavotory Standpipe Rec Shnmp Sink Site Drain
ToilU Qarnge FD Surgeons Sink Weitrs Stn
Kit Sink Local Weste Sterilizer )ce Chest
Dlsposal ,Bar Sink RPZ Volve Comm lce Maka
D'uhwashec 8r��+S�� Hidet ]nt Grense Trep
Floor Drain Classrm Sink Urinal Ext Groaae Trep
Hose Bibb Exam Sink Bccr'fap Eyo Wash Stn
Watcr Heater ,__�___ F Prep Sink Dipper Well Deducc Mekr
r Gav 0 Elecl 0 PwrVnt Floor Sink Drink Fnm Wtr Sewer Mtr
Clothes Wshr Hand S,ink Wosh Fntn Wlr Use�e Mtr
Lndry Troy Lab Sink Cntch Hasin MLsc Flxwrea
�+ ��
�
Electric Contractor (for projecEs not requiring an EN Form)
Use/Nature of Work
5ize Material Type . # Conn.Typo
Sanitary Sewer � �
Storm Sewer
Water Service
06/09 .