HomeMy WebLinkAbout0158237-Plumbing (water heater) � CITY OF OSHKOSH No 158237
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1752 HUNTERS GLEN DR Owner MICHAEL A/ELIZABETH M WARNER Create Date 10/14/2013
Contractor DRUCKS PLUMBING&HEATING CO INC Category 411 -Residential-Water Heaters Plan
Inspector
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 SFR/replace water heater
of Work
I*"debit acct"
Size Material Type # Conn.Type
Sanitary Sewer
StoRn Sewer
Water Service
Parcel Id#
1331690000
Valuation $1,229.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided'
Issued By S�Y� Date 10/14/2013
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.
CT-14-2013 12:04P FROM:DRUCKS PLUMBING C920)722-0651 T0:2365084 P.1
�3Syg3
City of Oshkosh
lnspection Services Division �
P O Box 1130 �
Oshkosh,WI 54903-1130 �
Phone:(920)236-5050
Fax:(920)236-5084 H
ON N, nTER
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinaRer 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 HaU,Room 205 or mailed to Inspection Servic�s,PO Box I 128,Oshkosh WI
54903-1128. Commencing work without permit(s)will�esult in fees being doubled or$100.00 plus the normal permit fee,which
ever is greater.
OR
If you are a contractor�articipa��ng !n the Permit Fee Account System and /rave adeq►rate fi�nds. check here
ilvoa want Ihis nrocessed Illrouph vour nccot.�nt �g
**Advisory-For applicab(e projects, an Electrical Installation Verification(EI�form,sigaed by the Electrical
Contractot or Homeowner(for installations aUowed to be performed by the homeowner)mnst be snbmitted
with tlie permit application. Applications subuuitted withont an EIV whcn such is required, will not be
processed for Pe�it Issnance and will be retarned for completion.
Job Address ] 7 SL 1�+�►�tr5 Gka �OI:Value(Includin�laborm►d ma�eriols) I Z-Z-4 � Date 10-r y-�3
Owner v►�+K� w�'�� Contractor �D�Ju�S IwYlon•�
�&ngle Famlly ❑Duplex ❑Multi-Family ❑Rentat ❑Commerctal Industrlal
Number of Fixtures:
Bathtub 5ump F'ump Plaster Sink Roof Drain
Slwwor Sun,Sump/1'ump Scullery Sink Soda Diap
Whirlpool Wu►er SnFlmrr Service Sink CofTee Mkr
L.avelory S�andpipe Rec Shamp Sink Siie Drain
Toilet Gamge fD Surgeons Sink Waitrs S�n
Kit Sin� Local Woste Sterilizw Ice Chest
Disposal Bor Sin� RPZ Valve Comm[ce Maker
p���y�� Breakrm Sink Bidct Int Grcase T�np
Floor Drain Clnserm Sink Urinal Fxt Grease Trrp
Hose Dibb Exom Sink Eicer Tap Eya Wesh 3tn
Water Hqicr �_ F Prcp Sink Dipper Well Deduct Me1er
�i Elxt PwrVnt Floor Sink Drink Fntn Wtr Scwtt Mtr
CM�hes Wshr Haod Sink Wash Fmn W�r Usuge Mu :
Lndry Tray Lab Sink Gaich Dasin Misc Fixwres
Electric Contractor(for projects not requiring an EIV Form)
Use/Nature of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
06/09