HomeMy WebLinkAbout0158251-Plumbing (water heater) � CITY OF OSHKOSH No 158251
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1242 SPRUCE ST Owner EDGAR A LONG 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 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 .
Disposai 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 ISFR/replace water heater �
of Work .
i**debit acct*' j
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1206000000
Valuation $1,060.00 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 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-15-2013 06:08A FROM:DRUCKS PLUMBING C920)722-0651 T0:2365084 P.1
: 'L3 S�e�( :
City of Oshkosh
Inspection Services Division �
P O Box 1130 �
Oshkosh,WI54903-1130
Phone:(920)236-5050 � �
Fax:(920)236-5084
ON M WATER �
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
W isconsin 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 11 Z8,Oshkosh WI
54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the normal permit fee,which
ever is greater.
OA
I[vou_are a contractor parttci,patinP In the Permit Fee Accoiur[ Svstem and lruve�rder��ate funds. cl►eck lrere
if you want �bis nrocessed IbrouPh voiir accoirne ��
**Advisory-For applicable projects, an Electrical Iastallation Verification(EI�form, sigaed by the Electrical
Contractor or Hoareowner(for installations allowed to be p�rformed by the homeowner)mnst be sabmitted
with the permit applicatioa. Applica�ions snbmitted withont an EIV when snch is reqaired, will not be
processed for Permit Issnance and will be retarned for completion.
Job Address ��-y2 SP���t S�' VBIU@(Includin�laborandmmerials) ���� � Date 10� 1`/'/3
Owner E�S�� �'S Contractor �O�vc-i�s �I wr.l,n�
�'5ingle Family ❑Duplex ❑Multi-Fumlly �Rental ❑Commercial ❑Industrial
Number of Fixtures:
Bathtub Sump Pump Plaster 5ink Root'Droin
Showa Snn.Sump/Pump Scullery Sink Sodo Disp
Whirlpool Wnter Sn(tener Service 5ink Coft'x Mkr
Lavulory Standpipc Rcc Shomp Sink Site Drain
Toilet Gnrn6re FD Surgeons Sink Woitrs S�n
Kit Sink Lowl Waste Steriliza Ice Chest
Dispoml Dur Sink RPZ Volve Comm Ice Maker
p��W� Brcakrtn Sink Bidn In�GrcnsoTrap
Floor Drain Classrm Sink Urinal Ezt Grease T�sp
Hose Bibb Exam Sink Deer'Pap Eye Wash Sln
Water eater _� F Prep Sink Dipper Well Deduct Meler
' as�Elec�,7 PwrVn� Floor Sink Qrink Fntn Wtr Sewer Mtr
Clo�hes Wshr hlend Sink Wush Fntn Wtr Usnge Ma
��Y T�Y Lab Sink Cotch Basin Misc Fixcures
Electric Contractor(for projects not requiring an EIV Form)
Use/ Nature of Work
Size Material Typc # Conn.Type
Sanitary Sewer
Stonn Sewer
Water Service
06/09