HomeMy WebLinkAbout0158253-Plumbing (water heater) � CITY OF OSHKOSH No 158253
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1820 E MURDOCK AVE Owner MELISSA R KOHN Create Date 10/15/2013
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 FINWst 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 Scuiry 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
Storm Sewer
Water Service
Parcel Id#
1526020000
Valuation $1,650.00 Plan Approval _ $0.00 Permit Fees $30.00 ❑ Permit Voided
Issued By �� Date 10/15/2013
In the performance of this work, I agree to perform ail 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.
OCT-15-2013 06:09A FROM:DRUCKS PLUMBING C920)722-0651 T0:2365084 P.3
23Sloo( ,
City of Oshkosh
Inspcction Serviccs Division �
P O Box l 130 �
Oshkosh,W[54903-1130
Phone:(920)236-5050
Fax:(920)236-5084
ON TM WATf.R
Plumbing Permit Application
I hereby apply for a permit 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
54903-112R. Commencing work without permit(s)will result in fees bein�doubled or$100.00 plus the norma!permit fee,which
ever is greater.
OR
I/'vou ure a canlractor particinating !n tlre Pernrrt Fe� Account Svstem und lrave adeguate fi�nds. check bere
t/'vou want this nroeessed tkro��Ph vour aeco«rrt �X
*�Advisory-For applicable projects, an Electrical Installation Verificadoa(EI�form,signed by the Electrical
Contractur or Homeowner(for Installadons allowed to be performed by the homeowner)must be snbmitted
with the permit applicatioa. Applications submitted withont an EN when such is reqnired, wi11 not be
processed for Permit Issuance and will be retarned for completion.
Job Address /$Zo � /19urd�� VaIU6(Irxluding laborand malerials) l6�� Date /o-�`Y�3
Owner /1qe�%55� ��ti N Contractor �pr �x./�S
��ingle Family �Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Number of Fixtures:
Balhwb Sump Pump Plastitr Sink Roof Drain
Shower San.Sump/Pump Scullery 5ink Soda nicp
Whirlpool Wa�er Softcna Service Sink Coffee Mkr :
Lavutory 5tandpipe Rec Shamp Sink Site Droin
Toilq Gura6ro FD Surgeons Sink Waitrs SIn
Kil Sink Local Waste 3terilizer Ice Ghest
Disposal �ur Sink RPZ Valve Comm Ico Muka
Dishwasher Dreaknn Sink Bidet fnt Greuse Trop
Floor Dr�in Clnssrm Sink Uriwl Exl Grease Trrnp
Hose Bibb Exam Sink Bcer Tap Eye Wash Stn
Wuter Healer 1 F Prep Sink Uipper Well Deduct Meter :
�"Gas'!Elce�,fl PwrVnt Floor Sink Dri�k Fnm Wtr Sewer Mtr
Clothes Wshr F(ortd Sink Wash Fn�n Wu Usase Mtr
Lndry Tray Lnb Sfnk Gatch Basin Mix Fixlurp
Electric Contractor (for projects not requiring aa EIV Form)
Use/Nature of Work
Size Material Type f� Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
06/09