HomeMy WebLinkAbout0156618-Plumbing (water heater) � CITY OF OSHKOSH No 156618
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1143 HIGH AVE Owner CAMPUS APTS OSH INC Create Date 07/10/2013
Contractor WOLF&SONS PLUMBING LLC. 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. � Fixtures
Kit Sink 0 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest 0
Disposal 0 Gar Drein 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 MULTI-FAMILY/replace 75 gallon water heater
of Work
��ck#614*"
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0507550000
Valuation $1,066.00 Plan Approvai $0.00 Permit Fees $30.00 ❑ Permit Voided�
Issued By �'L�` Date 07/10/2013
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 t enforce easement restrictions of which it is not a party,if you perform the work
described in this permit application within easement,the City strongly urges the permit applicant to contact the
easement holder(s)and to s re an ecessary approvals before starting such activity.
Signature � Date 7'�6 ��
AgenbOwner
Address 130 W. FRANKLIN AVE. UNIT#741 NEENAH WI 54957 -0741 Telephone Number 920-379-9772
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.
City of Oshkosh
Inspection Services Division �
P O Box 1130 �
Oshkosh,WI 54903-1130
Phone:(920)236-5050 OlHK01H
F�:(920)236-5084
ON THE WATER �
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 all parties hereto agree to and are bound by said statutes.
• Application(s)and fee(s)can be brouaht to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128,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
If vou are a coniractor participatinQ in the Permit Fee Account Svstem and have adepuate funds, check here �
if vou want this processed throu�vour account n '
**Advisory-For applicable projects, an Electrical Installation Verification(EI�form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be snbmitted
with the permit application. Applications submitted withont an EIV when such is reqnired, will not be
processed for Permit Issuance and will be retarned for compledon.
Job Address��� �� � �! 5 r� Va�UC(Including labor and materials) �� 6 �' � U U Date 7 ��e,�,
Owner �n Contractor �� L .S�^� ��
OSingle Family ❑Duplex ulti-Family ❑Rental ❑Commercial ❑Industrial
Number of Fixtures:
Bathtub Sump Pump Plaster Sink Roof Drain
Shower San.Sump/Pump Scullery Sink Soda Disp
Whirlpoo] Water Softener Service Sink Coffee Mkr
lavatory Standpipe Rec Shamp Sink Site Drain
Toilet Garage FD Surgeons Sink Waitrs Stn
Kit Sink L,ocal Waste Sterilizer Ice Chest
Disposal Bar Sink RPZ Valve Comm Ice Maker
Dishwasher Breakrm Sink Bidet Int Grease Trap
Floor Drain Classrm Sink Urinal Ext Grease Trap
Hose Bibb Exam Sink Beer Tap Eye Wash Stn
Water Heater � F Prep Sink Dipper Well Deduct Meter
�Gas iJ Elect�'�PwrVnt Floor Sink Drink Fntn Wtr Sewer Mtr
Clothes Wshr Hand Sink Wash Fnm Wtr Usage Mtr
Lndry Tray lab Sink Catch Basin Misc Fixtures
Electric Contractor(for projects not requiring an EIV Form)
Use/Nature of Worl� ���' �< //�,. �,/�� �/f� �,�t �c�,�f
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
06/09