HomeMy WebLinkAbout0157321-Plumbing (water heater) � CITY OF OSHKOSH No 157321
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 843 W 5TH AVE Owner DONALD E BASLER REV TRUST Create Date 08/20/2013
Contractor D.R. HANSEN PLBG. 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
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/replace water heater �
of Work
I'"debit acct"
�
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0604460000
Valuation $760.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided'
Issued By �V�, Date 08/20/2013
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 55 KNAPP ST OSHKOSH WI 54902 -3448 Telephone Number 233-1595
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 Oshkoah �
inspcclion Servicee Division
P O Sox I 130 �
Osh�COSh,W154903-t 130
Phone:(920)236-5050
Fax:(920)23G-5084 U HK
ON TMk WnTER
Plumbing Permit ,I�pplication
I hereby app.ly for u permit to do and inststll the following plumbirtg on the premises hcreinAfter deFCnbed,thc work to confonn to the
Wiscoaain Statc Plnmbing Code,in the performAnee of which all parties hececo agree to and arc bound by said statutcs.
• Application(s)and fee(s)can be brought to City Hall,Roc+m 2�5 or mailed to Inspcction Service.g,PO Box 1128,Oshkoeb Vvi
54903-1]28. Commcnci�g work without permit(s)wi�l result in fees bcing doublcd or$1Q0.00 pins the norma)permit fee,which
ever is�reatcr.
OR
�vou a�e a conlr_a��Co3'�rticipatinQ in the Permit Fee dccaunLS_y��g� g»d have adeauai¢ funds�(�e k� here
if vou wanl lhis D�,4,��ed ihrouFh voru� unt
**,A,dv�s�ry_For applicable�rojec�a, an Elcc�ical InstaUatxon Vcrificatiou(E�fon�,sii�ed by thc Elecdric�
Co.trtractor or Homeawner(£o�it�stallations allowed to be�erformcd by the bomeow�aar)�aomst bc snbmitted
with t�e pcnnatit a;►��catioa. Applicat�ions sab�noxtked withoat an EN whe.u�sacb xs r�aixed,w�11 not be
processed�ox�e�t�owit�ssnance aa�d��16e xeta�tmed.�o,t'camplction. � .
Job,A,dd � �t-r Value(i��m6 tAna�e � 9> �b � Aate 0 b J
pwner �1� Contractor
�Si�a�le Family �Dnplex �11�n1t�-Family OReetal ❑Co�nmeraial D�nduatria
Nambex o��'ixture,v: �
8&tfA,ub Sump Pump Pl,�gtc Cink Roof Arnin
Shower 5an.Sump/Pump Scullay 5ink SodA Disp
Whir{pnnt Walcr SoRdkr Servi�Sink CoPfce Mkr
Cavatnry _ Startdpipe Rec 5hnmp Siok 3itc prain
Toild ,,,,� (iernao F� SurRcons Sink waitrs Sm
Kit Sink l.acsl Waele Stcilizc fcc ChC�at
- Disposnl Bar sink RP7.valvc Canm Icc Maku
pishwnsha Brwlmn Sink Bedct Int(�rmSC Trap
FloorUrain Clanam Sink Uriml Fxt Gtcax'ftap
Wose 91bb S�ami Svik Am Tap �yc Wath Sln
Woeer Ncmtar f F Prop Sink Dipper Wdl Dedutl Man
1(Gxs L7 Clcct Cl ParrVnl ��Sink brink fncn WCr Scwcr Ma
Cloth�s W.chr Hand Sink ' . Wash f.nBn : • Wtr lleaRc Mv
Ledry T�y l,ab Sink Cacdi Bucfn • . Misc Fixomev :
Electriic Co�ntractor(f4r pro,jccts not reqaNring a� E�V Form)
Use/Natare o�Work �n S-�'C�� �'1 �J ' �u l �'�R 4 F�(✓
Sizc Matexial Type #� _, Conn.Typc :"
SanitAry Sewer
Sbocm Sewer
WAter 5ervice
06/09