HomeMy WebLinkAbout0157261-Plumbing (water heater) � CITY OF OSHKOSH No 157261
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1530 W 7TH AVE Owner JOHN W/SHIRLEY SHEA Create Date 08/16/2013
Contractor RAUSCH PLUMBING Category 411 -Residential-Water Heaters Plan
Inspector Jon Mueller
Bathtub 0 Clothes Wshr 0 Classrtn 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 FIr/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 SFR/replace water heater
of Work
*'Ck#27812"
i
��_
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0610760000
Valuation $220.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided j
Issued By �� Date 08/16/2013
.
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 1606 W HASKEL ST,STE A APPLETON WI 54914 -5032 Telephone Number 920-830-9222
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 specifed 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 Uivision �
P O Box I 130
Oshk��sh, WI 54903-1130
Phone: (920)236-5050
i'ax: (�a20)236-5084
O�i THF N/ATER
Plumbing Permit Application AUG 16 20i3
I hereUy apply for a permit to do and 'vistall tl�e following plumbing on the premises hereinafter described�tElpe To�E\o conform to the
Wisconsin State Plutnbing Code, in the performance of which all parties hereto agree to and��iq�}y��}b��,����
INSPECTiOti SER�'ICES Di�7Sl0'V
• npplication(s)and fee(s)can Ue Urought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI
54903-i 128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the nonnal permit fee, which
ever is greater.
OR
l�oi�are a corzlraclor varticit�atinQ i» the Permit Fee Accoi�nt Svstem and /tave adequate fi��ids check here
iJ pou u�ant lhis �rocessed throu,�/? voiu• aceount
** Advisory-For applicable projects, an Electrical Installation Verification(EIV) form, signed by the Electrical
Ca;�t:actor or Humeowricr(for installations allowed to be performed by the homeowner)mast be suUmitted
with tlie perinit application. Applications submitted without an EIV when such is required, will not be
processed for Pernut Issuance and will be returned for completion.
,IOt) A(�(�C�SS���� �l/' ��� �1� VaIUB (Including labor and materials) �v� Date � �
O���ncr � 1.:� . _ . Contractor /'�.fS � ✓��� '
(�JSingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Number of Fixtures:
Aathtub Sump Pwnp Plaster Sink Konf Drain
Sho�cer San.Sump/Pump Scullery Sink �oda Disp :
\Vhirlpool Water Softener Service Sink Coffee Mkr
�,�����,�� Standpipe Rec Shamp Sink Srte Drain
Toi!et Garage FD Surgeons Sink �Naitrs Stn
k�i 5{i�k Local Waste Sterilizer Ice Chest
Uispusal
Bar Sink RPZ Valve Comnt[ce Maker
I)ich�casher Breakrm Sink Bidet Int Grease Trap
Pl����r Drain Classnn Sink Urinal Ext Grease Trap
Exam Sink Beer Tap Eye Wash Stn
I lose T3ibb �
\Valer I Ieater _� F Prep Sink _ Dipper Well L�educt Meler ___
�([ias��Blect O PwrVnt Floor Sink Drink Fntn tiUlr Sewer Mtr
Clothcs Wshr F[and Sink Wash Fntn �`/tr Usage Mtr
I.ndry Tray Lab Sink Catch Basin Niisc Fixtures
I+�lectric Contractor (for pr 'ects not requiring an EIV For )
� �.oc�
L1�c / Nature of Work � �
Size Material Type # Conn. Type
Sanitary Sewer __
Storm Sewer
Water Service
06/0°