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Home My WebLink About0157798-Plumbing (water heater) /�'� CITY OF OSHKOSH No 157798 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 141 N SAWYER ST Owner OSHKOSH ATTORNEYS PROPERTIES LLC Create Date 09/18/2013 Contractor M P KELLY 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. 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 COMM/replace water heater 1 of Work � "ck#12921'" I Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 0608770200 Valuation $700.00 Pian Approval $0.00 Permit Fees $30.00 ❑ Permit Voided''� Issued By �jj(� _ 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 665 N MAIN ST OSHKOSH WI 54901 -4431 Telephone Number 231-1750 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. 1�EC�IVED Ci�y of Oshkosh S EP 19 2013 Inspection Services Division � P O Box 1130 � Oshkosh,WI 54903-1130 P)EPART�1E1T OF Phone:(920)236-5050 C0�911U�ITY DEVELOP3fE:VT Fax:(920)236-5084 INSPECTIOV SERViCES DI�'ISIO'V O HK I I ON THF WATFR Plumbing Permit Application I hereby apply for a pernut 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 1128,Oshkosh WI 54903-1128. Commencing work without pernut(s)will result in fees being doubied or$100.00 plus the normal pernut fee,which ever is greater. OR I�vou are a contractor participating in the Permit Fee Account Svstem and have adeguate funds. check here i�vou want this processed through your account n **Advisory-For applicable projects, an Electrical Installation Verification(EI�form,signed by the Electrical Contractor or Homeowner(far installations allowed to be performed by the homeowner)must be sabmitted with the permit application. Applications submitted withont an EIV when such is required,will not be processed for Permit Issuance and will be returned for completion. Job Address � - � �/`�'� � � l VSIUe(Including labor and materiats) Date Owner � Contractor ❑Single Family ❑Duplex Multi-Family ❑Rental �g�er ial ❑Industrial v Number of Fixtures: Bathtub Sump Pump Plaster Sink Roof Drain Shower San.Sump/Pump Scullery Sink Soda Disp Whirlpool Water Softener Service Sink Coffee Mkr Lavatory Standpipe Rec Shamp Sink Site Drain Toilet Gazage FD Surgeons Sink Waitrs Stn Kit Sink Local Waste Sterilizer Ice Chest Disposal Baz Sink RPZ Vaive Comm Ice Maker Dishwasher Breakrni Sink Bidet Int Cttease Trap Floor Drain Classrm Sink Urinal Ext Grease Trap Hose Bibb Exam Sink Beer Tap Eye Wash Stn Water Heater = F Prep Sink Dipper Weil Deduct Meter ❑Gas C�le�t�PwrVnt Floor Sink Drink Fnm Wtr Sewer Mtr Clothes Wshr Hand Sink Wash Fnm Wtr Usage Mtr ��'l'T�Y Lab Sink Catch Basin Misc Fixtures Electric Contractor(for 'ects not requi 'n an EIV or Use/Nature of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer l),` Water Service ._, 06/09 JUL.z9.2013 10��2Ah1 WITZKE ELECTRIC , • � ��231 �P.1�,� � � " ,� . . ' •• , ., ' � ' � ' � ID � � S �o � ., , , . , .� , ' '� � � �'� a� t � �70� ; , � � � � � �� ro�»� . : p�imt6 W1 5�90�-11�0 O�iee 41��76,i4f0 �8aW36.9Gt4 . � � . ��ectric �nstallat�oa Veraficat�on . I(We) w 1�Z.�� +G �C' � ' �-••- ' �- (El�ctrical Contractor Nam¢) � �JJ� �• �G1C.+'�r� �i�tl� 1 �� ,VU�- �' �E� � (�}^. � . (�Y) ' �s�) . ��p�3 � � , � � havo beea c�ntracted to perform eleceri�c iastalIstian work fc� � (Neme of cr�nlra�ted ) . at the following addres�: '' � � e� Q� ' •. � (Address where work fie p�rfo�rm�d} Tbe natzn�e of the wa�k coa�sfsts af (G�e�k�ne or Descnbe the Nat�e of Wc�c) � � ., . ' � . � � �o�nectiom a�asw circait�fo�replsce�emt�es�ing.Pbmt�ad/4r A/C'Cand,�sGr. Reconn�ction ar ne�w�irc�it far�placeme�t Elec:tric Water Heater or pawcr v�nted � . . , ��'��'• � � � ,�,� �ecomsection of the Sesvice Batr�ce Cable,lVleter$ox,al�rations to rec�ptac�es .and lig�ting fxt�u�due to sidiag F sofftt insEalla�iop. Nate: �Tew 3ervi,ce �e Cab1aR will reqwre a separate peQmit. I Reconnectic�o�aew cir�ait�tbe replac�ment of athec pemnan�a�tly wired , app�iances/fl�tmtie. � � N�av c�r�uit f�thc addition o;f A/C t+n�n fndivfd�ral dw�elling taut(]�ouse ar the i � � iadi,viduat sy�t�ma ia a dqplac or co�d,aomiaium�iacludiag reclu�red sar;vice . , electrical autleta. , � , , � 4�ther ' � , , � , . I � , � � � , . , ' � � � � � � . � ' , � ''�he vatue oftbis work ia S f a '� � � ' . ' ' j Y hereby varify tbis work will be perf�oa�med by aa e�nployee af t�is ca�pany aad ftiuthez�vexify . 't�e racosmeation/inst�l]�don wi�l�ix dane fn complis�nce with�u�tiuec and,Blectrfc coda . riequireoae�s. � � „ . ' � � '� ' � r• 01�.. __ _ 7�� a�� r3 . I � (Signnture of Compeay Of�c�r} � (Prin,t�Tame of Officer) (�t�) . i , . , � �