HomeMy WebLinkAbout0157953-Plumbing (water heater) � CITY OF OSHKOSH No 157953 `
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 20 W SOUTH PARK AVE Owner JULIE L HUNT Create Date 09/25/2013
Contractor D.R. HANSEN PLBG. Category 411 -Residential-Water Heaters Plan
inspector Jerry Fabisch
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. 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 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 DUPLEX/installing a water heater without a permit**"LATE FEE ADDED FOR WORK DONE BEFORE ISSUANCE OF
of Work PERMIT*** debit acct
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0303700000
Valuation $200.00 Plan Approval $0.00 Permit Fees $130.00 ❑ Permit Voided �
Issued By ��'n�,.�J Date 09/27/2013
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 55 KNAPP ST OSHKOSH WI 54902 -3448 Telephone Number 233-1595
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 pertormed within two business days from the time the project is ready.
c;ry ofosnk�n
Ir�cpection Serviccs Divisioa �
P 0 Box I 130 �
Oshkvsh,WL 5�1903-1130
Phone:(920)236-5050
Fax:(920)236-5084 �
ow n�+p wnr�R
Plumbing Permit l�pplicafion
I hereby epply for a permit to do and instt►II tbo foUowing plumbing on thc premiscs hot'eindtfter described,the work to confornt to the
Wisconsin Stato Plumbin�Codc,in the performancc of which all parties hereto agcee to and are bound by said stan�tes.
• Applicadon(s)and fee(s)can bc btuught to City Hali,Room 205 or mailed to Inspection Services,�O 8ox 1128,Oshkosh WI
54903-1128. Commcllcil�g wp�c wit}�,put permit(s)will result in fecs being doubted or�100.00 plvs thc normal permit�ec,which
cvcr is gr�atcr. '
OR
It,vo� are a co_nlr_a.c_[�r norlicinalfnQ i� the Per�i1 Fee Accounl�s!sle_m�lid��y_��� funds. cl�eck he1�e
if vnu wa�[ lhis ro s�g�t��/,(gj(ypur accotrnt �
**Advisor�-Fa�applieable projeets, an Elec�ical basdtII�bio�Vc�lcatiirnn(.�'�Form,sig�ted bp the Eleeaical
Contractor or Homeowner(for installatians aUowed M be�e�£o�omed b�tl�e bomcowner)mact be sabmitted
witb�the peaaoiouit a�pyUcat�ion. ,A.�tication.9�nbmiitcd withoat an EIV whca svc6 ia reqaired, w�l not be
proccssed for Pem�it lssaaiuce��d w be zcta�nacd�for coan�le�ion. � .
CA� �0 � f�' v 1 e - i 0 �� ate �
Job Address � �i a a (Including Mbor nnQ ��s� A
Ow�aer �V� C�n'�' Contrsctor �V' • � U►�1f7f�t ��.
�Singlc Family ODnplez OMulti-Family ❑Rcatnl ❑Comrncrcial da�tria�
Nnmber of F�etures: •
Balhtub Sump Pump Plasler Sink RoofThain
4Am►rc Sen.SumpRump Scullery S'Ink Soda Disp :
Rfiirlpnql WatQ Softvkr Servicx Sink Co17'a Mki
i�vatory Standpipe Rec Shamp Sink Site Arslltl
Toi►et " Garagc PD Surgoons Smk Wuitrs Stn
Kit Smk Lowl Waete Sxrilizct Ix Chcsl
- biapwal Bar 9mk RPZ Valvc Comm fx Mekcr
p�y�ha Dreakrm Sink Bidd tnl CrwAC 7'�
��p,fl�n Cla�cn.►Sink Lkinnl Ext Grmae Trap
Ht�e Bibb Ezam Sink Beer Tep Eye Wpsh S1n
W��H�� � F Pr�Sink Dipper Wdl Aoduct Maa
�Gaa❑Blxt 0 PwrVnt Floor 3ink Arink F�to Wtr Scwer Mtr
Cb�W� HanQ Sink � . Wosh F1�pt : Wtr Uaage Mv
J.�td�7'��Y I.ab Sink CMth BnsM , Mixc P'ocmra�
Electric Contrnctor(for project�tiot re�uiring an EN k'orm)
Use/Natare of Work
Size Material Type #_ ,. Conn.Type -
Sanitary Sower
Storm Scwcr
Watcr Scrvicc
06/p9