HomeMy WebLinkAbout0156556-Plumbing (water heater) /�"� CITY OF OSHKOSH No 156556
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1528 GROVE ST Owner STEVEN J/SARA E ELIASEN Create Date 07/05/2013
Contractor DRUCKS PLUMBING&HEATING CO INC Category 411 -Residential-Water Heaters Plan
Inspector Jerry Fabisch
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 Int Grease Trap 0
Fioor 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\Install NG water heater 1
of Work I
i
Size Material Type # Conn.Type
Sanitary Sewer '
Storm Sewer
Water Service
Parcel Id#
1511560000
Valuation $1,370.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided I
Issued By Date 07/05/2013
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.
JUL-5-2013 11:52A FROM:DRUCKS PLUMBING C920)722-0651 T0:2365084 P.3
City of Oshkosh
Inspection Services Division �
P O Box 1130 �
Oshkosh,W[54903-1130
Phone:(920)236-5050
Fax:(920)236-5084
ON H WATE
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described,the work to conform to the
Wisconsin State Plumbing Code,in the performance of which al)parties hereto agtee to and are bound by said ctatut�s.
� Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box l 128,Oshkosh WI
54903-1 I28. Commeneins work wi[hout permit(s)will result in fees being doubled or$100.00 plus the normal permit fee,which
ever is greater.
OR :
I,��Er ore a contractor nartic�ating in the Permrt Fee Accor�nt Svstent and liave adeguate firnds cbeck leere
f/'vou warrt this vrocessed througlr vo«r accorint I—I
**Advisory-For applicable projects, an Electrical Installation Verification(EI�form, signed by the Electrical
Contractor or Homeowner(foz installations allowed to be performed by the homeowner)mast be snbmitted
with the permit applicarioa. Applicatioas snbmitted withont an EIV when sach is reqaired,will not be
processed for Petmit Issnance and will be returned for completion.
Job Address IS �' �rrvuL S�• Vf1IU@(Including laborand mntcriels) i 37 0`� Date 7^s'�3 '
Owner so.�o. E�;c�Sc�J Contrsctor �Or�.rc ces :
�Sinele Family ❑Duplex ❑Multl-Family ❑Rental ❑Commerciul �Industrial
Number of Fixtures:
Bathtub Sump Pump Plasta 5in� Roof Drain
Shower Ssm.Sump/Pump Scullery Sink Sode Disp
Whirfpool Woter SoRcncr Secvlce Sink Coffee Mkr
Lavatory Slundpipe Rec Shump Sink Site Drain
Toilet Gora�e FD Surgeons Sink Waitrs Stn
Kit Sink Local Was�e Steriliur Ice Chesl
Disposal Dur Sink RPZ Valve Comm Ice Mnker
Dishwasher Bretilccm Sink Bidot Int Grcaso Trap
Floor D�sin Clnssrm Sink Urinul Exc Grenu Tmp
Hose Bibb Exmn Sink Deor Top Eye Wosh Stn
Wa}er Heaier � F Prep Sink Dipper Well Dcd�t Meter
/Gas :Elect.'PwrVnt floor Sink Drink fntn Wtr Sewer Mtr
Cbihes Wshr Hnnd Sink Wosh Fnm WU Usa�c Mtr
��5'T�Y Leb Sink Catch Basin Misc Fixtures
Electric Contractor(for projects not requiriag an E[V Form)
Usc/Nature of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Servico
06/09