HomeMy WebLinkAbout0158522-Plumbing (water heater) � CITY OF OSHKOSH No 158522 `
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1745 MARICOPA DR#B Owner KENNETH C ZIER Create Date 10/15/2013
Contractor D.R. HANSEN PLBG. Category 411 -Residential-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
Whirlpooi 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 T�ap 0
Floor Drain 0 Bar Sink 0 Serv Sink 0 Wash Ftn 0 Ext Grease Trap 0
Hose Bibb 0 Breakrtn Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 1
Use/Nature MULTI-FAMILY/replace water heater �
of Work
`*debit acct"
I
Size Materiai Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1315181400
Valuation $760.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided
Issued By �i Date 10/29/2013
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 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 ofOshkosh
]nsncction Services Division
P O Box 1130 �
O�hkosh,W[5�903-1130 �
Phone:(920)236-5050
Fax:(920)23G-5084 � rl I
C�� n
oN ri•i�wnT�u
Plumbing Permit �pplication
I hereby apply for a permit to do and insrall the follawing plumbing on the pr�mises hcreinafter described,thc work to conform to thc
Wisconsin State Plumbing Code,in d�e performancc of wi�ich all parties hcrcm a�rce to and arc bound by said statutes.
• Application(s)and fee(s)can bc bronglrt ta City Hall,Room 205 or mailed to inspection Services,PO Box I 128,Oshkosh WI
54903-1128. Commancing work without permit(s)will t�sult in fces bcing doubled or$100.00 plus the norntsl permit fee,whlch
ever is grcater.
OR
!f vou are a con[rac[or purtici�,li�,� in rhe Per►ni1 Fee .�cc�3en(�vsleni and have odeauate fund,�c ec�hcre
it vov wan! �l��t vracessed throvgh vaut qccounl I� �
**Advisory-For applicab��projects, ea Elcch�ical Ix�seaUatiaia Ycrification.(E�form, signcd by thc Elec�icel
Contractor or Homcow�ae,r(for instaIlations ailowed to bc performcd b'the b�onaeowncr)ma.4t be snbmitted
widt the pemut a�lxcat�iom. A,pplications snbmitk�d witliont an EIV whcn sncb�is xeqnfred,will not be
processed for Pcrmit Js.aua�ce and w�l be retmx�cd�o�r completion. ,
. Job Address� ��5 U G 1�c C► V$�p@(Including labor and metcisls) 7 6 v Date v ��
Owner �er) z��Q►i Contrsctar �R E�c�nc�� ���OA
❑Sir�gle Family �Duplex �N�alti-Family ❑R�ntal ❑Commcrcial ❑lpdastrial
Nnmber of�iztare,s: ,
Bathtub Sump Pwnp Plasler Sink RoofDtain
Shower San.SittnP/Pump 5cullcry Sink Soda Disp
Whirlpo�l Wnler Soflcrter 3crvir�Sink CoFTce Mkr
I..�v�tory Standpipe Rce Shump Sink Site Dcain
TOiIU GernRe Fp Surgcons 5ink Waitrn 5tr�
Kit 5ink l.oCal Wesle Stcril'v,cr Icc Chevt
. bisposal Btat Sirsk RP7,Valve Ccxnm lcc Makc
Dishwusher H�nkrn+S�++k I3idct Inl Grea�c 11ep
Floor Droin CIas.Qm Sink Urinel Exl Gn�ac Trap
Musc Bibb Cxam Sink Bxr TaP Eyc Wash Sln
Wnter Hcnta � F Prep Sink 17iPPa Well Dcducl Mctc
�C�S fJ EIccI CI PwrVh( Flrn►r Sink Drink Fntn Wh Scwer Mtr
ClMhes Wshr Hend Sink ' . Wesh Ena� •. Wlr Usage Mtr
Cndry Trsy I.ah Sink Ca�ch 8asin . Misc Fixturea
Electric Contractor(for projects ot regui 'ng a EIV Form)
Use/Nature of Work (i✓�. l �'1�Ft�
Sizc Material Type #, � Conn.Type ,-
Sanitary Sewer
Sterm Sewer
wec�t s�rv��
Ofi/09