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Home My WebLink About0156864-Plumbing (water heater) � CITY OF OSHKOSH No 156864 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 2808 NEWPORTAVE Owner ANN M SCHMOLDT TRUST Create Date 07/24/2013 Contractor DRUCKS PLUMBING 8�HEATING CO INC Category 412-Res-Interior(New/Relocated Fixtures) Plan Inspector Jerry Fabisch 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 Whirlpooi 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 Floor Drain 0 Bar Sink 0 Serv Sink 0 Wash Ftn 0 Ext Grease Trap 0 Hose Bibb 0 Breakrtn Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0 Water Heater 1 Use/Nature SFR/Installing a new gas water heatec of Work i i I � Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1332880000 Valuation $1,070.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided I . Issued By Date 07/24/2013 In the perFormance of this work, I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement holder(s)and to secure ecessary approvals before starting such activity. Signature , .yt, Date AgenUOwner Address 314 APPLETON ST MENASHA WI 54952 -2318 Telephone Number 426-2654 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of Inspection (i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. -24-2013 09:10A FROM:DRUCKS PLlR�1BING C920)722-0651 T0:2365084 P.1 Z 3�rs� City of Oshkosh Inspection Scrvices Division � P 0 Boa l F30 � Oshkosh,WI54403-it30 Phone:(920)236-5050 Fax:(920)236-5084 ON NE WA ER �� Plumbing Permit Application T hereby apply for a permit to do and install the followin$plumbiaQ 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 anc!are bound by said statutes. • Application(s)and fcc(s)can be brought to City Hall,Room 205 or mailed to Inspxtion 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 I,�you arP a co►rtractor nartic(pntlnP ln tl�e Permit Fee Account Svslem ond /icrve adeguate,,('irnds check he�e !f vou wan� tGis nrocessed tlrrouglr vorrr account 1-1 **Advisory-For appticable projccts, an Electirical Installadon Verificadon(EI�form, signed by the Electrical Contractor or Homeowner(for installations allowed to be performed by the homeowner)mnst be snbmitted with the permit application. Applicadons snbmitted withont an EIV whea snch is reqnired,will not be processed for Permit Issnance and w�l be retnrned for completion. Job Address ��O��eu�D�� Al� Value�i�ci„a��¢ie��,a�,e�eriois> 1 O`lo°"'— Date �7 ''Zy'�3 Owaer �NN Sc�r��d�- Contractor ,Or�e.KS �Single Family []Duplcx ❑Multi-Family ❑Rental ❑Commercial �Industrial Number of Fixtures: Bahtub Sump Pump Plosttt Sink Roof Drain Shower Son.Sump/Pump Scullery Sink Sode Disp Whirlpool Water Softena Service Sink Coffa Miv Lawtory Smndpipe Rec Shamp Sin� 5ite Drnin Toilet Garnge FD Sur�eons Sink Waitrs Sm Kil Sin� l.ocnl Wa4ie Sterilizer Ice Chesl Disposel Baz 5ink RPZ Valve Comm fa Mukcr ��N,�� Breakm�Sink Bidet Int Greau Trep F1oor D�nin Clnssrm Sink Urinal Ect Greaso Trap Hose Bibb Exnm Slnk Beex Tap Eye Wush Stn Water He�ler � F Prcp Sink Dipper Well Dedua Me1or !Gus°'Elect�.!PwrVn1 Fioor Sink Drink Fmn Wlr Sewer Mtr Cblhes Wshr Hond Sink W�sh Fn�n Wn Usabe Mu Lndry Tmy Lab Sink Catch Basin Misc Fixturca Electric Contractor(for projects not requiring an EIV Form) Use/Nature ef Work Size Material Type # Conn.Type Sanitary Sewe� Stortn Sewer Water Service 06/09