HomeMy WebLinkAbout0158252-Plumbing (water heater) � CITY OF OSHKOSH No �ss252
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1526 SANDERS ST Owner ROBERT C BAIER Create Date 10/15/2013
Contractor DRUCKS PLUMBING 8 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
Whirtpool 0 Sump Pump _ 0 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 0 San Sump/Pump 0 FIr/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
Disposai 0 Gar Drain 0 Plaster Sink 0 Dip Weil 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 ' �
**debit acct**
�
I
Size Material Type # Conn.Type :
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1306930400
Valuation $1,070.00 Pian Approval ___ $0.00 Permit Fees $30.00 ❑ Permit Voided
Issued By '�Lt/�� J 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
AgenVOwner
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.2
23 S�SI�
Ciry of Oshkosh
Inspection Services Division �
P O Boz 1130 �
Oshkosh,WI 54903-1130
Phone:(920)236-5050
Fax:(920)236-5084 H)
ON TH WAi R
Plumbing Permit Application :
[hereby apply for a permit to do and instalt 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
54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the normal permit fce,which
ever is greater.
OR
lyori are u cnnlractor particrpa�inP i�► the Perml[ Fee Account Svsten� and liave adeqnate /}rnds. clreck here
it vo�i wanjlhls nrocessed tG�ongh va��r account �'
**Advisary-For applicable projects, an Electrical Installation Verifiication(EI�form,signed by the Elec�ical
Contractor or Homeowner(for instaIlations allowed to be performed bq the homeowner)must be snbmitted :
with t6c permit application. Applicatious sabmitted withont an EIV w6en such is reqnired,will not be
processed for Pernut Issnance and will be retamed for comptetion.
3obAddress Ij2co S�d�� S�' Va�ll@(includin�loborandmateriols) �o�o Date (o'Iy�- �3
Owner �ob�F j3o. i e,� Coatractor �O r v��e S �/�....I,n„
B3ingle Famlly ❑Duplex ❑Multi-Family ❑Rental ❑Commercial Industrial
Number of Fixtures:
Bathtub Sump Pump Plaster Sink Roof D�nin
Showcr Snn.Sump/Pump Scullery Sink Sodu Disp
Whirlpool Wnter Soflena Service$ink ColTee Mkr
Luvatory Stnndpipe Rec Shamp Sink Sile Drnin
Toilet Garoge FD Surgcons Sink Waitrs Stn
Kit Sink Local Waste Sterilizer Icc Chcst
Disposal Bnr Sink RPZ Valve Comm Ice Ma�a
DWtwnsher Brwkrm Sirtk Bidm Int Grcase Trnp
Floor Drain Clussrm Sink Urin�l Ext Greare Trap
Hose Bibb Exom Sink Beer Tep C-ye Wesh Stn
Wa�er eata � F 1'rep Sink Dipper Well Dcduct Meter
�:�Elect 'PwrVnt Floor Sink Drink fntn Wlr Sewer Mtr :
Clothss Wshr Hand Sink Wnsh Fntn Wtr Usa�e Mtr
Lndry Tray Lnb Sink Gatc6 Busin Misc Fixtura
Electric Contractor(for projects not requiring An EIV Forar)
Use/Nature of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
06/09