HomeMy WebLinkAbout0157824-Plumbing (water heater) � CITY OF OSHKOSH No 157824
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 737 VINE AVE Owner JEFFREY M ROGERS/SUSAN M LOEFFLER Create Date 09/19l2013
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 Flr/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 SFR/replace water heater
of Work
"*debit acct*'
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel id#
0503490000
Valuation $1,070.00 Plan Approvai $0.00 Permit Fees $30.00 ❑ Permit Voided�
issued By Date 09/19/2013
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 otherv+rise,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 01:51P FROM:DRUCKS PLUMBIN� C920)722-0651 T0:2365084 P.1
23 Sos�
City of Oshkosh
Inspection Services Division �
P O Box 1130 �
Oshkosh,WI54903-1130
Phone:(920)236-5050
Pax:(920)23G-5084
ON H AT R
Plumbing Permit Application
[hereby 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 agree to and are bound by said statutes.
• Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to [nspection Services,PO Box 1128,Oshkosh WI
54903-1128. Commencing work without parmit(s)will result in faes being doubled or$100.00 plus the normal permit fce,which
ever is greater.
OR
! ar antrac or arti r' t'n in I►e P ' F A coc�nt S em ar d have ad uate nds check here
i ou ►v n .s ro essed �lir ! �r a ourrt
**Advisory-For applicable projects, an Electrical Installadon Veri6cation(EI�form, signed by the Electrical :
Contractor or Homeowner(for instatlations allowed to be performed by the homeowner)mnst be submitted
with the permit application. Applications submitted withont an EIV w�en snch is required, will not be
pmcessed for Permit Issnance aad will be retnrned for completioa.
Job Address 7�7 �/1►V'C. A UC ValUe(Including Inbor and materials) ����� Date 9'�g��3
Owner �Q�'�' Ro�4«s Contractor A/'v�ks
[�Siagle Family ❑Duplex ❑Multi-FAmily �Rental ❑Commercial ❑Industrisl
Number of Fixtures:
Bathtub Sump Aump Plas�er 5ink ftoof Drnin
ShOwcr Sun.Sump/Pump Scullery Sink Sodn Disp
Whirlpool Wnter SoRener Savice$ink CofTx Mkr
Levatory Stundpipe Rec Shamp Siak Site Drein
Toilet GaraQe FD Surgeons Sink Weitrs Sln
Kit Sinr Local Waste Sterilizer Ice Chest '
Disposol Dur Sink RPZ Volve T Comm Ico Maka
Dishwasher Breakrm Sink Didec In�drcasc Trap
Floor Drnin Claasnn Sink Urinal Ext Grcasc Trnp
I losc Bibb Exnm Sink Beer Top Eye Wnsh Stn '
W er Heater �_ F Prep Sink Dipper Well Deduct Meta
�Gav ;Elect�;PwrVnt Floor Sink Drink Fnln Wir Sewer Mtr
Cbthes Wshr Hund Sink Wnsh Fnm Wtr UsaQa Mtr
��NT�Y Lab Sink Catch Dasin MEsc Fix[ures
Electric Contractor(for projects not requiring an EIV Form)
Use/Nature of Work
Size Matcrial Type fl Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
06/09