HomeMy WebLinkAbout0156555-Plumbing (water heater) � CITY OF OSHKOSH No 156555
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1370 RAHR AVE Owner JAMES L BASILIERE SURVIVORS TRUST 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
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. � Fixtures ;
Kit Sink 0 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest p :
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\Install NG water heater
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0206690000
Valuation $1,329.00 lan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided'� .
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
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 specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not pertormed within two business days from the time the project is ready.
JUL-5-2013 11:52A FROh1:DRUCKS PLUMBING C920)722-0651 T0:2365084 P.2
City of Oshkosh
Inspection Services Division � '
P O Box 1110 �
Oshkosh,WI 54903-1 l30
Phone,(920)236-5050
Fax:(920)236-5084 �--�
ON H WAT.R
Plumbing Permit Application
I hereby appty fo�a permit to do and install thc following plumbing on the premises hereinaftcr dcscribod,the work to conforn+to the
Wisconsin Statc Plumbing Code,in the performance of which all parties hereto agree to and are bound by said statutes.
� Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 1 t28,Oshkosh WI
54903-1128, Commencing work without permit(s)will result in fees being doubled or$100.00 plus the normal permit fee,which
ever is greater.
OR
Ilyotr are a co►rtraclor nnrtlelpating iii tbe Permit Fee Aceount Svsrem and /inve adegteate funds. c/iec_k__It��
jLYOU waret this nrocessed tlrroirPb yorrr accotrnt I—I
**Advisory-For applicable projects� an Electrical Installation Verificatioa(EI�form, signed by the Electrical :
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be snbmitted
with the permit appllcation. Applicadons snbmitted withont an EIV when snch is reqaired, will not be
processed for Pernut Issnaace and will be retarned For completion.
p a_o �
Job Address13�� 1\0.�'lr' /�UG. VAIU@(Including labor end materinls) �3z9 Date l'$��3
Owner vwMeS gc.s; �;ere Contractor .t7�vcKS .plw,.,(,r�,,s
�ingle Famity ❑Duple$ ❑Multt-Famlly ❑Rental ❑Commercial ❑Industrtat
Number of Fixtures:
Ba�hlub Sump Pump Plasler Sink Roof Drnln
Shower San.Surnp/Pump Scullery Sink Sodu Disp
Whirlpool Wotcr SoQcna Service Sink CofFce Mkr
Lawtory Slnndpipe Rx Shamp Sink Site Drain
'foila Gnrege FD Surgeons Sink Waitrs S�n
Kil Sink Locnl Waue Sterilizer Ice Chesl
Disposal Bar Sink RPZ Valve Comm lce Maker
Dishwasher Brcekrm Sink Didet Int Grease'!'rnp
Floor Dcain Clasmn Sinlc Urinut Ext GreaeeTrnp
tlose Blbb Exam Sin� Bea Tap [ye Wnsh Sln
Water Hoeter _L F Prep Sink Dipper Well Deducl Meler
�G�s Elxt�PwrVM Floor Sink Drink Fntn W�r Sewer MIr
Cloth�v Wshr Hand Sink Wash Fntn Wtr Usa�e Mtr
Lndry Trny Cab Sink Catch Bosin Misc Fixtures
Electric Contractor(for projects not requiring an EIV Form)
Use/ Nature of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer '
Water Service
OG/09