HomeMy WebLinkAbout0158001-Plumbing (water heater) � CITY OF OSHKOSH No �ssoo�
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 230-250 N KOELLER ST Owner DISCOVERY PROPERTIES II LLC Create Date 09/30/2013
Contractor C SWEETING PLUMBING LLC 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 FIr/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 Locai Waste 0 Sculry Sink 0 Drink Ftn 0 Int Grease Trap 0
Floor Drain 0 Ba�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 COMM/replace water heater
of Work
'*debit acct"
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0611510000
Valuation $600.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided',
Issued By tiy� Date 09/30/2013
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
AgenbOwner
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.
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with the permit application. Applications sabmitted withont an EIV when snch is reqn�ed, will ndt be
processed for Permit Issaance and vvi7i be retarned for compietion.
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Job Address ��d � ko- � Value��i�,a�g����a�c«►�� �G'� Date `r—l6 /3
Owner f�•3��..r,,�- �'�''^cr� Contractor- l�' - �c,- :_��-F ►p-` ���� L � `
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Number of Fixtures:
t3aUlWb Jump Yump r�axc��uu. ..w,...a..�
Shower San.Sump/Pump Scultery Sink Soda Disp
Whiripcx�l Water Softener Service Sink Coffee Mt�
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.�.�ua��y ...�.. CY..",__ . a ......_ .
TOl�tx ri'd(8gC� $U($COILS$IO�C WHIUS$�1I
Kit Sink IACa]VVaste Steritizer Ice Chest
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���� Breakrtn Sink Bidet Int Grease Trap
i'loor llrain Clas,trm Sirilc Urinal Ext Grease Trap
n_...-r..� �...,�S'�,�-h C�r �..
riO6C i31U0 '-'-"'---�-.`. .. . .._ .
W�H a 1( F Prep Sink Dippc Wetl Deduct Metar
❑Gas�Elect�P��TVnt Fioor Sink Drink Fnm Wtr Sewe�Mtr
_ .-,._ . �� ,.,.r�._ tx*<<T,.-�n�n.ff�
1sdTY T�Y Lab Sink Catch Basin Misc Fixtures
Electric Contractor{for nrojects nat reqniring an EIV Form} �- � ����-'��"� �
Use/Nature of Work 1��f ju cc �7�
--._ _._- --- _ __ ._ _______________._____.___..----
� Size Materi3l Type # Conn.Tyoe I
I Sanitary Sewer �t��'�IVED I
I I
R Storm Sewer �
� SEP 3 0 2013 �
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`)�P:s�;T�lElT OF
CO�t�itiYii?''DEi'EiQp�IEVT
INSPECTIO�SER�'ICES D{�'ISIOV
voi v�
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� Cl�y Of�S�I�:OS�I .
� DIVISIO�Of IRSpCChOD SC�ViCCS
315 Church Avenue
PO Box 1130
Oshlcosh WI 54903-1130
Office 920-236-5050
NE w Fax 920.236-5084
Electric Installation Verification
I (We)- � `� �( �P�+/'i L. � � C.—
(Electrical Contractor Name or Homeowner's Name)
r� ,� ,� s� o� � 5�.. �i�� ..�Y.o�
(Address) � (City) (State) (Zip Code)
accept the responsibility to perform the electric work as stated below,at the following address:
2 3 D � . �'o t_j�r�✓ � �
(Address where work will be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser.
� Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection of the Service Entrance Cable,Meter Box,alterations to receptacles
and lighting fixtures due to siding/soffit installation. Note: New Service
Entrance Cables will require�separate pemut.
Reconnection or new circuit for the replacement of other permanently wired
appliances/fixtures.
New circuit for the addition of A/C to an individual dwelling unit,including
required service electrical outlets. Note: Homeowners can only do their own
electric on a single family owner occupied home. Work on a condominium,
duplex, rental, or multi-use building would require a licensed Electrical
Contractor.
Other
The value of this work is$ ,�c%
�-
I hereby verify this work will be performed in compliance with the License requirements of
Section 11-22 of the Oshkosh Municipal code and further verify the reconnection/installation
will be done in compliance with manufacturer and Electric code requirements.
( G d Pi✓ �7- /�-- l�
( ature of Company Officer or Homeowner� (Print Name� �Date�
07107