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Home My WebLink About0157805-Plumbing (water heater) � CITY OF OSHKOSH No �s�sos OSHKOSH PLUMBING PERMIT -APPUCATION AND RECORD ON THE WATER Job Address 1292 W 18TH AVE Owner DORIS M JOHNSON Create Date 09/18/2013 Contractor DRUCKS PLUMBING&HEATING CO INC 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 SFR/replace water heater � of Work *'debit acct*" � Size Material Type # Conn.Type J : Sanitary Sewer Storm Sewer Water Service Parcel Id# 1307310206 Valuation $965.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided Issued By �� Date 09/18/2013 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 314 APPLETON ST MENASHA WI 54952 -2318 Telephone Number 426-2654 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. P-18-2013 10:36A FROM:DRUCKS PLUMBING C920)722-0651 T0:2365084 P.1 235 3qo City of Oshkosh [nspection Services Division � : P O Box 1130 � Oshkosh,WI54903-1130 Phone:(920)236-5050 Fax:(92U)236-5084 �-K H ON TN 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 confom►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$1Q0.00 plus the normal pertnit fee,which ever is greater. OR '. I � r ontra or r ic� atin !n the Perm o nl S s m d have ade � rr� s lreck here I nu t n !r r r *�Advisory-For applicable projects, an Electrical Installatlon Verificatioa(EI�form, signed by the EIeetrical Contractor or Homeowner(for installations allowed to be performed by the homeowner)mnst be submitted with the permit appUcation. Applications sabmitted withont an EN whea snch is reqaired,will not be processed for Permit Issnance and w�l be retnreed for completion. Job Address �Z 92 w• �8��► VaIUe(Includin�laborundmaterials) `�O5� Date �� +�~13 Owaer �a'�5 ✓of�^�s� Contractor �/'vtK's �Siagle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial Number of Fixtures: Omhlub Sump Pump Plas�er S(nk 2aof Drain Shower Sun.Sump/Pump Scullery Sink Soda Disp Whirl�ol Wnter Soflena Smice Sink CofTes Mkr Lavatory S�ondpipe Rec Shnmp Sink Site Druin Toilet Gnre6e FD Surseons Sink Wai�rs Sin Kit 5in� Locel Wnste Sterilizer Ice Ches� D�sposal Bnr Sink ItYL Volve Comm Ico Maker Dishwaaha Brculmn Sink Didet Int Greuse Tmp Floor Dtnin Classrm Sink Urinal Ext Grcase Trep Nosc Bibb Exnm Sink DeerTap Eye Wosh Stn WWa Heo r �_ F Prep Sink Dipper Wcll Deduc�Meter � Gas�lx�::i pwrVnl Floor Sink Drink Fntn W�r Sewer Mtr Clothes Wshr Hund Sink Wnsh Fntn Wtr Usu�a Mtr Lndry T�ny Lob S(nk Cu�ch Bosin Misc Fixmres Electric Contractor(for proJects not requlring an EIV Form) Use/Nature of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service 06/09