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Home My WebLink About0157026-Plumbing (water heater) � CITY OF OSHKOSH No 15�o2s ' ; OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD � - ON THE WATER Job Address 1393 1395 MARICOPA DR Owner RANDALL H/AMY S LOCKE Create Date 08/02/2013 � i Contractor OWNER 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. p 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 Eut 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/owner occupied side of duplex water heater replacement of Work �'ck#11855** Size Material Type # Conn.Type `\ Sanitary Sewer � .�1 Storm Sewer Water Service Parcel Id# 1315020000 Valuation $900.00 Plan Approvai $0.00 Permit Fees $30.00 ❑ Permit Voided'. Issued By '-�� Date 08/02/2013 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 nd to secure any ecessary approvals before starting such activity. Signature Date V � AgenUOwner Address 808 W.GRUENWALD AVE. Oshkosh WI 54901 -0000 Telephone Number 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 Services Division � P O Box 1130 � Oshkosh,WI 54903-1130 � Phone:(920)236-5050 F�:(920)236-5084 �� ON THE WATER Plumbing Permit Application I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described,the wark to conform to the Wisconsin State Plumbing Code,in the performance of which all parties hereto agree to and are bound by said statutes. • Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection 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�'vou are a contractor �articinating in the Permit Fee Account Svstem and have adeauate funds check here if vou N�ant this nrocessed through vour account (� **Advisory-For applicable projects, an Electrical Installation Verification(EI�form, signed by the Electrical Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be snbmitted with the permit application. Applications snbmitted without an EIV when such is reqnired, will not be processed for Permit Issnance and will be retarned for completion. Job Address �� !� 'V I�.J�I�(�� VaIUC(Including Iabor and materials�� O� • � � Date Q �� Owner � Contractor ❑Single Family [�I�uple ❑Multi-Family ❑Rental ❑Commercial ❑Industrial Number of Fixtures: Bathtub Sump Pump Piaster Sink Roof Drain Shower San.Sump/Pump Scullery Sink Soda Disp Whiripool Water Softener Service Sink Coffee Mkr Lavatory Standpipe Rec Shamp Sink Site Drain Toilet Garage FD Surgeons Sink Waitrs Stn Kit Sink Local Waste Sterilizer Ice Chest Disposal Bar Sink RPZ Valve Comm Ice Maker Dishwasher Breakrm Sink Bidet Int Grease Trap Floor Drain Classrm Sink Urinal Ext Grease Trap Hose Bibb Exam Sink Beer Tap Eye Wash Stn �Wa r Heate� �� F Prep Sink Dipper Well Deduct Meter Gas�Elect�PwrVnt Floor Sink Drink Fntn Wtr Sewer Mtr Clothes Wshr Hand Sink Wash Fnm Wtr Usage Mtr Lndry Tray Lab Sink Catch Basin Misc Fixtures Electric Contractor(for projects not requiring an EIV Form) Use/Nature of Work�� (�Q � (��' �-�� Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service 06/09