HomeMy WebLinkAbout0158257-Plumbing (water heater) /�"� CITY OF OSHKOSH No 158257
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER `
Job Address 701 MERRITT AVE Owner D&M RENTALS LLC Create Date 10/15/2013
Contractor D.R.HANSEN PLBG. _ _ Category 446-Commercial-Water Heaters Plan
Inspector Jon Mueller
Bathtub 0 Clothes Wshr _ 0 Classrm Sink 0 Surgeons Sink 0 Roof Drein 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. Q 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 Drein 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 jCOMM/replace water heater -
of Work '
�*'debit acct"
, �
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1100200000
Valuation _ $1,200.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided''
Issued By ='�/!/l/ Date 10/15/2013
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the :
easement holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 55 KNAPP ST OSHKOSH WI 54902 -3448 Telephone Number 233-1595
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection (i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready. ,
City of O,�hkosh
In�pect+on$erviic�Divisioo �
POBox1130 �
Oshkosh,W[54903-1130
Phone;(920)236-SOSp
Fax:(920)236-5084 � K�
U 1'HF WNT�R
PlWmbing Permit A,pplication
T hereby apply for a permit to do and install the followin�plumbing on thc premiscs hcrcinaft�r d�scribcd,t�hc work Co conform to thc
Wisconsin State Plumbing Code,in d�e performance of which all parties hereto agrcc to and are bound by said stattttes.
• Application(s)and tzc(s)can be brought W City Hall,Room ZOS or mailed to inspection Sorviccs,PO Box 1128,Oshkosh WI
54903-1128, Commencing work without permit(s)will result in fccs bcing doublcd or Ti 100.00 plus the normal permit fee,which
ever ic greater.
OR
J�tiOd gre a contractor aR rtfcipaling in the Perr�it Fee �lccount Svs�ern and hove ada�,g,�g,f,�f�,�,,c,`�e ,��er•e
it vou wanl lhis pracessed throvgh vour accourr! n
**,A.dvasor.y-For app�icabae�nrojects, an E��cal J.�staUabirna Vc�nifxca�irnn(E��oxno�,si�aed by the Elect�rnica�
Co�abractoz mr Ho�oneowncr(�ox ix�stallation�s allowcd xo bc pexfononed bp the bo�naeowner)mnst be sabmitted
with tb�c pc�onuit ap�licatiiom. A,pp�icatxon�.4 sabnnatt�d wxWont an�V wl�c�a sncl�zs xer�niur�d,wi�x�ot be
processed for Pexmuit Issaauee and w�be xetaxa�ed frnr com��ctaox�. .
�
Job Address U f!/ VaIUC(frrcludinglnborond r«;oi � C� Da e � �S
Owner � h �1� Contractor U L
[]Sin�le�amily' ❑Duplcx ❑Mu1ti�Family ❑Rental ommercial ❑�nd ria!
Namber o�Firxtares: �
8a�hw6 Sump Pump Plasler Sink RooPDrain
Shm,�er San.Sump/Pump Scullcry Sink Sodo Disp
Whirlpool Wnta Sofhxrcr Scrvice Sink CoA�ee Mkr
Ltivntory gwndpipc Rcc 9hamp Sink 5itc Drain
Tpilet Gareae FD $urgcons Sink Waitna 9m
K1l3�nk f.I�CJ Waatc Sc�ilizcr IceCh�at.
Disposal Dar Sink Rt'7.Vnlvc Comm icc Makcr
Dfshwashcr ��^�+STM+k Flidcc int Grcnve Trnp
FIOOr Dt�lin Claeam$ink l,lrirral 6xl Grpsc Tmp
Nosc Blbb F.xnm Sink BeerTap �yc Wadi$in
wnc«taenrer I F�a+s�� Dipper Well �a�M�ur
1J Cms I;1 Rlxt f.l PwrVm �loor 3ink Prink Fntn Wtr 5cwcr Mtr
Clndn.w Wuhr liand Sink ' . Wash F.nrn ', Wl�Us�to Ma
Lndry Tray Lnb Slnk CocCh Basin , M�sc�ixtwex
�lectric Contractor(for p 'ec not req iring an E�V Form)
Use/Natore o�'Wor�c �
Sizc Material Type #_ _ Conn.Typc `
Sartitary Scwer
Storm Sewcr '
Water Service
a6/09