HomeMy WebLinkAbout0157068-Plumbing (water heater) � CITY OF OSHKOSH ►vo �5�oss
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 344 BOWEN ST Owner COBB ON BOWEN LLC Create Date 08/06/2013
Contractor D R GLAZE PLUMBING Category 446-Commercial-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 OMM(JANSEN'S RESTAURANT)/REPLACE GAS WATER HEATER "check#1231
of Work
� I
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0202720000
Valuation $850. 0 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided I
Issued By Date 08/06/2013
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 1865 JAMES RD OSHKOSH WI 54904 -6873 Te�ephone Number 920-589-4014
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 Oshkos6 � -
Inspection Services Division ,
P O Box 1 I30 �
Oshkosh,WI 54903-1130 -
Phoae:(920)236-5030
Fax:(920)23b5084 �� �
Plumbing Permit Application
��.�� � (Z31
I heteby apply fm a pecmit to do and'mstall the folbwmg ptumbi¢g on the premises heremafter described,the worlc ro muform to the /y�c� �
W iuonsm State Plumbing Code,in iLe performance oF which all paities hereto agree lo and aze bound by said statutes �( .
• App&cation(s)and fee(s)c�6e brwght ro City Hall,Room 205 or mailed to Inspectiw Services,PO Box]128,Oshkosh W t �`Z��`� �
54903-1128.Commencmg wodc a�rthoat pemit(s)will tesah in fees being doubled m S 100.00 pins ihe normal pecmrt fee,whicL .
eva is greater. �
OR
�� contract�a.ticipatine rn the Permit Fee Account System and have adeqdate funds check he�e
if vou want this processed thraugh vaur accaunt ❑
**Advisory-Far applicable projec[s,aa Elecurical Installariou Vaification(EI�form,signed by the Electrical
Contrador or Ilomeow�r(for imtatiatioos allowed to be paformed by the hameowne�must be submitted �J ry���N-� ��
wIIh the pamit applicatian. Appticatiom svbmitted witLont an EIV whea such is iequired,will not be
processed far Pe�it Issuance and will 6e retvrned for ca�pletion. p
JobAddressp.�3�"�L�l F�L7wt-� Value�r�doa�i,c«ma�m�:>���� Date g �j
Owner °�`���g� Cootrador D�6�7w /'C�
�Single Famlly �Dapkz ❑Mattl-Famlly �Reetal o�er�ui p�an�cru�
Number ot FYiatnres:
B�b �V�P PlssarSdc __ Roaflh� __' .
Shwa __ 5�-Sosp'RmP —_—. �a9Sdc __-- SodslhW _'__'_ .
FLi�b� _ wta Sdtoa Se�ice Smk _ Ca6«Wr _ .
Lav�QS _ S�dPP�Ra _ �P�� __ Sileaao _ .
ida ___.__ G�ageFD ______ SmgemsSek ........ K�Jo-s� ._____. ..
�cn s� c�w.� -- s�ua �cane --
pisposai .....__ HYSek ____.._.- RPZVaWC ._._.__. Cammlct�Sdca _..____
Dishra�a B*�� BiM _ Int Gease Inp .
FlarDrde _. ... QssvmSiok _. �� _ E:iCneneirap .
HoxB�b E:mSdc _._...._ HeaTy ....._..._ EyeR'n65m .
R�Herer F�D� D�PV�a� _—.. De�ct Meta ..
_"�'-
Ekct PwrYn� Floar S.t Driek Fem wtr Sewa Mtr
CJa[haW�r ____ HedSmk — R'uhF�m _ W1tUs+6eMtr �
Leds im' Lab Sak __ C�d Bain _ SSsc Fvtum
Eledric Contrador(for prnj s not reqairmg ao EIV Fo�m)
Use/Natare ot Work ���� �
Size Mgerial � Type N Cona.'Iype .
Sanitazy Sewer .
Strnm Sewer .
W eter Se[vse �
06/09