HomeMy WebLinkAbout0157761-Plumbing (water heater) � CITY OF OSHKOSH No �s�7s1
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1705 1727 MARICOPA DR Owner WHPC DOMINIUM LLC Create Date 09/17/2013
Contractor C SWEETING PLUMBING LLC 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 FldWst 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 MULTI-FAMILY/replace water heater
of Work
""debit acct"
I
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1315200000
Valuation $4,500.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided;
Issued By �VY�, Date 09/17/2013
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 ho�der(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address 1583 COUNTRY MEADOW CT OSHKOSH WI 54904 -9316 Telephone Number 920-410-4017
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 54903-1 1 30
Phone:(920)236-5050
Fax:(920)236-5084 O HKO
ON THP WATER
Plumbing Permit Application
I hereby 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.
• Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box I 128,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 ou are a contractor artici atin in !he Permit Fee Account S stem and have ade uate unds check here
i ou wa»t this rocessed ihrou h our account
**Advisory-For applicable projects, an Electricai Installation Verification(EI�form,signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)mnst be sabmitted
with the permit application. Applications sabmitted withont an EIV when sach is reqnired,will not be :
processed for Permit Issaance and will be retarned for completion. :
Job Address / 7Z � I�Ik/'i GOQ� VaIUC(Including labor and materiats) 7i �J�� a� Date �—�—/3
Owner Cv�n�►�b;�o c'o,���r �4s,�� Contractor• � — S����`%���lB�
❑Single Family �Duplez �Multi-Famity ❑Rental ❑Commercial ❑Industrial
Number of Fiztures:
Bathtub Sump Pump Plaster 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 Crarage FD Surgeons Sink Waitrs Stn
Kit Sink L.ocal Waste Sterilizer Ice Chest.
Disposal Bar Sink RPZ Vatve Comm Ice Maker
Dishwasher Breakrm Sink Bidet Int Grease Trap
Floor Drain Classrm Sink Urinal Ext!'mase'I'rap
Hose Bibb Exam Sink Beer Tap Eye Wash Stn
Water Heater _� F Prep Sink Dipper Well Deduct Meter
�{Gas�£lxt 0 PwrVnt Floor Sink Drink Fntn Wv Sewer Mtr
Clothes Wshr Hand Sink Wash Fntn Wtr Usage Mtr
Lndry Tray Lab Sink Catch Basin Misc Fixtures
Electric Contractor(for projects not requiring an EIV Form) '��
Use/Nature of Work ��,Ol�c� �T�
—�
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
06/09