HomeMy WebLinkAbout0156912-Plumbing (water heater) � CITY OF OSHKOSH No 156912
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 803 W MURDOCK AVE Owner PAUL C GIESE Create Date 07/26/2013
Contractor WUNDERLICH 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 FINWst 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 DUPLEX/replace water heater
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1211420000
Valuation $525.00 Plan Approval $0.00 Permit Fees $130.00 ❑ Permit Voided I
Issued By �� Date 07/26/2013
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 � 1���� Date 7— 2 6 - 13
AgenUOwner
Address W9879 STATE ROAD 96 FREMONT WI 54940 -0000 Telephone Number 920-850-8508
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 Sen•ices Di�•ision �
P O Box 1130 �
Oshkosh,V�'I 54903-1130
Phone:(920)236-5050
FaK:(930)236-5084 �--�K H
OtV 7HF WATFR
Plumbing Permit Application
I hereby apply�for a permit to do and install ihe follo�ring plumbins on the premises hereinafter described,the�s�rk to mnfonu to the
��`isconsin State Plumbing Code.in the performance of���hich all parties hereto agree to and are bound by said statutes.
• Application(s)and fee(s)cau be broueht to City Hall,Room 205 or mailed to Inspection Sen•ices,PO Bos 11Z8,Oshkosh«'I
54903-1128. Commencing work��s•ithout permit(s)«•ill result in fees bemg doubled or S100.00 plus the normal permit fee.�rhich
e�•er is greater.
OR
I[t•ou are a corTtractor participating if� the Permit Fee _4ccou�it Si�stem a�rd hare adeq«ate fur�ds, clteck here
�1'O1l ll'py11 lI1lS pYOCQSSELI II77'OI[gIt 1'Otll' QCCOl[111 ❑
**Advisory-For applicable projects, an Elertrical Installarion Verification(EI�form, signed by the Electrical
Contractar ar Homeowner(for installations allowed to be performed bq the homeowner)mast be submitted
with the permit application. Applications submitted without an EIV when such is required,will not be
processed for Pernut Issuance and will be rerurned for completion.
Job Address � � w ��C✓��� 'ti'Ille(Induding labor andmateriais) � �2S� � Date �— Z�'—�3
owner �l �`�- S"� Contractor 1�� � L�
❑Single Famih- [�Duplex ❑:1lulti-Famil�- ❑Rental ❑Commercial ❑ dustrial
1 umber of Fixtu res:
Bathtub Sump Pump Plaster Sink Roof Drain
Shon�er _� San_Sump Pump --_-,-- Scullm�Sink _�..�__ SodaDisp ___—,-
«'hirlpool ��'ater SoRena Srn-ice Sink Coffee Vlla
La�-azon� Standpipe Rec Shamp Sink Site Ikain
7oilet Gazage FD Surgeons 5nk \�'aitrs Sta
Ikit Sink Local R'aste Sterilizer Ice Chest
Disposal Baz Sink ------- RPZ\'al��e ----- Comm Ice�[aker ---,--
D������� Brealam Siuk Bidet Iut Grease Tcap
fl��� Classim Sink L;rinal ExtGrease Trap
Hose Bibb Exam Sink Beer Tap Eye��'ash Stn
�t'ater Heater ��( 1 / F Prep Sink Dipper�L'ell De�ct\4eter
Gas Elect P«r�'nt�� Floor Siuk Drink Fntn li'tr Se�cer�ftr
Clothes R'shr Hand Sink «'ash Fntn R'tr tisage�1tr
Lndrv 7ray Lab Sink Cazch Buin �sc Fixtures
Electric Contractor(for projects not requiring an EIV Form)
I"se/\ature of Work
Size I�laterial Type � Conn.Tti�pe
Sanitar}�Se��-er �
Stoim Se«�er '
�l'ater Sen•ice
c6/os