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Home My WebLink About0158254-Plumbing (water heater) /� CITY OF OSHKOSH No 158254 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 922 S WESTFIELD ST Owner STEVEN C/SHARON R DOCHERTY 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. 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 Fioor 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 Heate� 1 Use/Nature SFR/replace water heater of Work I"debit acct** ,� IL_ Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1309400000 Valuation $1,070.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided' Issued By 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 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-15-2813 06:09A FROM:DRUCKS PLUMBING C920)722-0651 T0:2365084 P.4 Z35�os City of Oshkosh Inspection Services Division � P O Box 1130 � Oshkosh,WI 549�3-1130 Phona(920)236-5050 Fax:(920)236-5084 ON TH WA7� Plumbing Permit Application I hercby apply for a p�cmit to do and install the foUowing 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 fee,which ever is greater. OR I o�� are a con/ract r artief atin in tbe Permil F e Accoeint S stem nd have ade �ate rrnds check here ' i ou wa this roce d lir h rr accoun **Advisory-For applicable projectc, an Electrical Installation Verification(EI�form,signed by the Electrical Contractor or Homeowner(for installations aIlowed to be performed by the homeowner)mnst be sabmitted with the permit application. Applica�ions submitted without an EIV when such is reqaired, will not be processed for Pe=mit Issuance and will be retarned for completion. Job Address�2Z S� �11C�'��d VAIUC(Includiny�fobornnd materiuls) �� Date �0"�`'��3 Owaer ��cuc �De ch c r+7 Contractor A rv�c K-s �/u►k b�w� [�ingle Family ODuplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial Number of Fixtures: Bathlub Sump Pump Plaster Sink Roof Drain Shower Sun.Sump/Pwnp Scullery Sink Sodu Disp Whirlpool Wnter Softener Serviee Sink Coffee Mkr Lovatory Stnndpipe Rec Shamp Sink Si�e Druin Toila Garage FD Surgeons Sink Wnitrs Sin Kit Sink Local Woste Sterilizer Ice Chcst Dispossl Dar Sink RPZ Valve Comm lce Maker Dishwesher �reokrm 5ink Bidet Ini Grense Trop Floor Urnin Classrm Sink Urinnl Ext Grwse Trap liose Dibb Fxnm Sink Beer T�p Eye Wnsh Stn Weter Elw�er � F Prep Sinlc Dipper Well Deducl Meler �ns �Elxt :PwrVnt Floor Sink Drink Fnin Wtr Sewer Mu Clo�hes Wshr Hnnd Sinr Wash Fntn W!r Usage M�r ��'�roY Lnb Sink Cetch�asin Misc Fixtures Electric Contractor(for projects not requiring an EIV Form) Use/Nature of Work Size Material Type # Conn.Typ� Sanitary Sewer Storm Sewee Water Service 06/09