HomeMy WebLinkAbout0157806-Plumbing (water heater) � CITY OF OSHKOSH No 157806
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1320 MENOMINEE DR Owner SALLY A KASSUBE 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
Whirlpool 0 Sump Pump 0 F Prep Sink 0 RP2 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
Disposai 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**
�*
I
--� '
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld#
1513300000
Valuation $963.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided j
Issued By ��� Date 09/18/2013
In the performance of this work,I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the
easement holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address 314 APPLETON ST MENASHA WI 54952 -2318 Telephone Number 426-2654
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
SEP-18-2013 10:36A FROM:DRUCKS PLUMBING C920)722-0651 T0:2365084 P.2
2353�8
Ciry of Oshkosh
Inspection Services Division �
P O Box l l30 �
Oshkosh,WI 54903-1130
Phone:(920)236-5050 :
Fax:(920)236-5084
ON TH WATEB
Plumbing Permit Application
I hcrcby apply for a permit to do and install thc following plumbing on the premises hereinafter described,the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agrce to and are bound by said statutes.
• Applicapon(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspeetion Services,PO Box l t28,Oshkosh WI
54903-1128. Commencing work without permit(s)will result in fees being doubled or$I00.00 plus the normal permit fee,which
ever is greater.
OR
If vou are a contractor Dnrticipating !n tlie Permit Fee Accoun� Svsfem aird liave adequate f�rnds. eheck !►ere
f/'vou wa�r1 �liis proce.ssed through vo►rr account n
**Advisory-For applicable projects, an ElectricaI Installation Verificadon(EIl�form,signed by the EIectrical
Contractor or Humeowner(for installations allowed to be performed by the homeowner)mast be snbm.itted
with the permit application. Applications submitted withont an EIV when sach is reqnired, will not be
processed for Permit Issuance and will be retarned for completion.
JobAddress f 320 1►1eNorkaNae i0/'► V8IU8(Includinglnborandmateriols) 4��� Date �'-i8"��
Owner 5�11, k c�Sw be Contractor �D/'vGK S
[�]$'ingle FumUy rQDuplex ❑Mult[-Family ❑Rental ❑Commercial �Industrial '
Number of Fixtures:
Buth�ub Sump Pump Plaster Sink Roof Drain
Shower San.Sump/Pump Scul{ery Sink Soda Disp
Whirlpool Wnter Soflener Setvice Sink CoffeC Mlv
Lawtory Standpipe Rec Shnmp Sink Site Drain
Toild Gnrogc FD Sur�eons Sink Waitrs Sm
Ki�Sink Locak Wnste Sterilizer Ice Ghes�
Disposal Dor Sink RPZ Valve Comm Ice Maker ,
Dishwosher Brenkrm Sink Bidet Ini Grease Trap
Floor Dmin Clossrm Sink Urinnl [xt GrcaseT�p
Hose Dbb T Frcnm Sin� Beer Tnp Eye Wesh Sln
Wuter Healer 1 F Prep Sink Dippu Well Deduc�Meter
�iGres 'Glxt PwrVnt Floor Sink Drink Fntn Wcr Sewa Mtr
Clolhes Wshr Hnnd Sinlc Wash Fmn Wtr Usu�e Mlr
Lndry Trny Lnb Sin� Cutch Bnsin Mlvc Fixiures
Electric Contractor(for projects not requiring an EIV Form)
Use/Nature of Work
Size Matcrial Type �i Conn.Type
Sanitary Sewer
Storm Sewer
Water Service.
06/09