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Home My WebLink About0156779-Plumbing (water heater) � � CITY OF OSHKOSH No 156779 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1725 GRABER ST Owner JOHN P DAVIS/JODY L MODER Create Date 07/18/2013 Contractor M P KELLY 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 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. 0 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 "ck#12807'* �- Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1524610000 Valuation $1,468.00 Plan Approval __ $0.00 Permit Fees $30.00 ❑ Permit Voided I Issued By '�1.� Date 07/18/2013 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 AgenUOwner Address 665 N MAIN ST OSHKOSH WI 54901 -4431 Telephone Number 231-1750 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. C�t of Oshkosh I� . P. KE LLY, I N C. : p 665 N. MAIN STREET � Ins ection Services Division P O Box 1130 � osn�osh,WI54903-1130 OSHKOSH, WISC. 54901 Phone:(920)236-5050 Fax:(920)236-5084 O�� ON THF WATFR , Plumbing Permit Application I hereby apply for a pertnit to do and install the following plumbing on the premises hereinafter described,the work to conform to the Wisconsin State Plumbing Code,in the perfortnance 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 1128,Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the norma!permit fee,wluch ever is greater. OR I�vou are a contractor participatinQ in the Permit Fee Account Svstem and have adequate funds. check here �vou want this processed through vour account n **Advisory-For applicable projects, an Electrical Installation Verification(EI�form,signed by the Electrical Contractor ar Homeowner(for installadons allowed to be performed by the homeowner)must be submitted with the permit application. Applications submitted withont an EIV when such is required,will not be processed for Permit Issuance and will be retumed for complerion. /J, �/ ��j� � � �� 7 Job Address � /��iYL��lF-�f�-' VAIlle(Including labor aad materials) / Date Owner /1�,! co J,9�(�1t Contractor in Famil ❑Duplez ❑MuIN-Family ❑Rental ❑Commercial ndustrial Number of Fixtures: JUL 18 Z013 Bathtub Sump Pump Plaster Sink Roof Drain Shower San.Sump/Pump Scullery Sink �a1��1RT^IE�T OF Whirlpool Watcr Softeoer Service Sink C��U\�ER�iCE.Dl�'�IS10�N 1VS Lavatory Standpipe Rec Shamp Sink Site Drain Toilet Garage FD Surgeons Sink Waitrs Stn Kit Sink Local Waste Sterilizer ice Chest Disposal Baz Sink RPZ Valve Comm Ice Maker Dishwasher $reakrm Sink Bidet Int Crrease Trap Floor Drain Classrm Sink Urinal Ext Grease Trap Hose Bibb Exam Sink Beer Tap Eye Wash Sm Water Heater I F Prep Sink Dipper Well Deduct Meter G Gas 0 Elect�vrVnt Floor Sink Drink Fnm Wtr Sewer Mtr Clothes Wshr Hand Sink Wash Fntn WV Usage Mtr ��Y T�Y Lab Sink Catch Basin Misc Fixmres Electric Contractor(for projects not requirin an EIV Form) Use/Nature of Work � Size Material Type # Conn.Type Sanitary Sewer Storm Sewer � Water Service �� 06/09 � CiryofOshkosh Division o(Irupection Services � 215 Church Avenue PO Box!130 OsWcosh WI 54903-1130 Office 920-236-SO50 �OH H WATE� FlE 920-236-5084 � , � Electric Installation Verification I We , �/ _ � � � (Elecfical Contractor Name) _ o . �;�� D � � 90� - - �9 � (Address) (City) (Statej (Zip Code) , /r12-� have been contracted to erform electric installation work fo�r � � , P :(Name of p contracted to) � at the fo�lowing address: � 7� l5/L-��—�—� � (Address where work will be performedj The nature of the work consists of: (Check One or Describe the Nature of Work) �Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser. ' econnection or new circuit for replacement Electric Water Heater or power vented ' water heater. � Reconnection of the Service Entrance Cab,le,lVleter Box,alteratioz�s to receptacles ' and lighting fixtures due to siding/soffit installat`ron. Note; New Service ! Entrance Cables will require a separate pertnit. Reconnection or new circuit for the replacement of other permanently wired appliances/ fixtures. New circuit for the addition of A/C to an individual d�uelling unit(house or the individual systeris in a duplex or c�rdomi�iu.m), including requi�ed ser�iee i electrical outlets. � � Other � The value of this work is $ • ,+.. I hereby verify this work will be performed by:an employee of this company and further verify the reconnection/installation will be done in complian�e with manufacturer and Electric code requirements. ,� � � (Signature of Company Officer) (Print Nam of Off er) (Date) sioz :