HomeMy WebLinkAbout0156983-Plumbing (water heater) � CITY OF OSHKOSH No 156983
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 872 W 18TH AVE Owner WILLIAM C HESSER Create Date 07/31/2013
Contractor DRUCKS PLUMBING 8�HEATING CO INC 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
Lavatory 0 San Sump/Pump 0 Flr/Wst 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 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
"debit acct"*
�
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer :
Water Service
Parcel Id#
1410080700
Valuation $1,070.00 Plan Approval $0.00 Permit Fees _ $30.00 ❑ Permit Voided�I
Issued By '7�,,,_ Date 07/31/2013
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 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.
JUL-31-2013 08:19A FROt�1:DRUCKS PLUMBING C920)722-0651 T0:z365084 P.2
-Z 3�f s�o
Ciry of Oshkosh
InspxNon Services Division �
P O Box 1130 �
Oshkosh,WI54903-1130
Phone:(920)236-5050
Fax:(920)236-5084
ON H WATE
Plumbing Permit Application
I horeby apply for a permit 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 agree to and are bound by said statutes.
• Apptication(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128,Oshkosh WI
54903-L 128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the normal permit fee,which
ever is greater.
OR
It vou are a contractor an rticipating in the Permlt Fee Accoun� Svslem and have adeqnate /'irnds, c/reck here
i!vou wunl IhJs nrocgssed t/iroueh vor.ir accoun� n
**Advisory-For applicable projects, an Electrical InstaIlation Vtrificatioa(EI�form,signed by the Electrical
Coatractor or Homeowner(for instatlations allowed to be performed by the homeowner)mnst be snbmitted
with the permit application. AppIications sabmitted without an EIV when sach is required,wiIl not be
processed for Permit Issnance and will be retnrned for completion.
Job Address �� W• �8��' VSIUC(lncluding laborand maierinls) f o 7o Date 7�3/-/3
Owaer ���� l�es1�/' Contractor ��ucKS
�Single Family �Duplex ❑Multi-:Family [jReatal ❑Commercial ❑Industrial
Number of Fixtures:
Hathlub Sump Pump Plasler Sink Roof Dmin
Shuwa Sen.Sump/Pump Scullery Sin� Soda Disp
Whirlpool Wa�a So!lena Service Sin� Coffa Mkr
Lava�ay S�undpipe Rec Shump Sink Si�e Drnin
Toilet GnraCe FD Surgeons Sink Waitrs Sln
Kil Sink L,ocal Waste Sterilizer fco Ghest
Disposal Bor Sink RPZ Vnlve Comm Ice Muker
Dishwnshtt Breulcrm Stnk Bida Int Greaso Trnp
��p�i� Classrtn Sink Urinal Ex1 GnaseTrnp
Ho�e Bibb Exum Sink Bcer Tap Eye Wa�h S1n
Water Heater _L F Prep 3inr Dippor Well Deduct M�ta
�es 'Elxt ]PwrVnl Floor Sink Drink Fntn Wtr Sowwer M�r :
Clothe9 Wshr Hand Sink Wesh Fntn Wu UsnCe Mu
��Y T�y Lab Sink Cntch Basin Miu FLcnues
Electric Contractor(for projects not requiring an EIV Form)
Use/Nature of Work
Sizc Matcrial Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
06/09