HomeMy WebLinkAbout0157500-Plumbing (water heater) � CITY OF OSHKOSH No 157500
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1926 OLIVE ST Owner BERTHA M CRAM Create Date 08/30/2013
Contractor WATTERS PLUMBING 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 40 GALLON POWER VENT WATER HEATER, ELECTRICIAN IS BELL ELECTRIC **debit acct
of Work
I
I
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1216060000
Valuation $1,500.00 Plan Approval __$0.00 Permit Fees $30.00 ❑ Permit Voided I
Issued By Date 08/30/2013
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the
easement holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address PO BOX 118 MENASHA WI 54952 -0118 Teiephone Number 920-733-8125
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection (i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
B/30/2013 FRI 13: 21 FAX 920 733 2713 Watters Plumbing �001/001
City of Oshkosl�
Inspection Services Division �
�o�X i�3o �l Jo� �� / �
Oshkosh,WI54903-1130
Phone:(920)236-5050
Fax:(920)236-5084 O� �
ON THE WATER
. Plumbing Permit Application
I hereby apply for a pemiit to do and install the following plumbing on the premises hereinafter described,the work to conform to the
Wisconsin State Plumbing Code,in the performance of which all parties hereto.sgree to and are bound by said statutes.
• AppIication(s)and fee(s)can be brou�ht to City Hall,Koom 205 or mailed to Inspe�tion Services,PO$ox 1128,Oshkosh WI
54903-1128. Conunencing work without permit(s)wil]result in fees being doubled or$100.00 plus the normal permit fee,which ;
ever is greater.
OR
I ou are 4 contractor artici atln in 1he Permif ee Account S stem and have adequate,f'unds check here
i ou want this rocessed throu h our acc un.t
**Advisorp-For applicable projects, an Electrical InstaIlation Verificati�on(EIV)form, signed by the Elertrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)tnvst be submitted
with the permit application. Applications submitted without an EN when such is required, will not be
processed for Permit Issuance and will be returned for completion. �,
�f � i�'�f�Sr (�S � �`� S �v 3
Jo6 Address C a(� Q UC I V� •VAIUC(Inctudinglnbor and mnterials)_ ' Date /
er �?�-�'V\C� t _.�A'� Contractor _� �S U)'V)�I�
ingle Family �Duplea ❑Mulfi-Family ❑Rental OCommercial QInd rial
Numbei•of Fix#ures:
Bethtub Sump Pump Plaster Sink Roof Drein
Shower San.Sump/Pump ScuSlery Sink _ Soda Disp
v✓hirlpool Water Sottcnec Service Sink Coffee Mkr
�ve�ry Standpipe Rec Shamp Sink Site Drain
Toilet Garage FD Surgeons Sink Waitrs Stn
KitSink Local Waste Stczilizer IceChest
Dispoael _ Bar Sink RP'L Valve Comm Icc Maker
Dishwnsher Broakrm Sink Aidet Int(irease Trnp
Floor Drain Classrm Sink _. Urinal Lxt Cnedsc Trap .
Hoso$ibb Exam Sink 13ee�•Tnp Eye Wash Stn
Water Heatcr ��l7�) F Prcp Sink Dipper Well J�educt Meter
LI Gas IJ Elect rVnt�Ot1/ floor Sink Drink Fntn Wtr Sewer Mtr
(1 �
CbthcK Wshr Hand Sini: Wash Entn Wtr Usage Mtr
Lndry Tray i,ab Sink Catc:h Sasin Miac Fixtures
� �
Electric Cont�•actor(for projects not requiring an EIV Foi�r►)���
Use/Nature of Work
Size Material 'Type # Conn.Type
SanitF►ry Sewer
Storm Sewer.
Water Service
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