HomeMy WebLinkAbout0158528-Plumbing (water heater) � CITY OF OSHKOSH No �sa52s
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1130 N WESTFIELD ST Owner EVERGREEN RETIREMENT COMM INC Create Date 10/29/2013
Contractor WAI7ERS PLUMBING Category 446-Commercial-Water Heaters Pian
Inspector
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. � 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
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 'COMM/replace water heater with same make and model as existing
of Work
�
�
� Size Material T e # Conn.T e
YP Yp
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1615311000
Valuation $6,850.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided '�
Issued By ...�� 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 PO BOX 118 MENASHA WI 54952 -0118 Telephone Number 920-733-8125
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.
Fabisch, Jerry T.
From: PLUMBING PERMIT APPLICATION [Permit_App_Plumbing@ci.oshkosh.wi.us]
Sent: Tuesday, October 29, 2013 9:36 AM
To: Inspections, Inspections
Subject: PLUMBING Permit Application
PLUMBING PERMIT APPLICATION
Date:10/29/2013 9:36:02 AM
Permit Fee Account System: YES
Job Address: 1130 N. Westfield Street
Owner: Evergreen Retirement Community
Contractor: Watters Plumbing, Inc.
Use Category: Commercial
FIXTURES
Bathtub: Sump Pump: Plaster Roof
Sink: Drain:
Shower: San. Scullery Soda
Sump/Pump: Sink: Disp:
Whirlpool• water Service Coffee
' Softener: Sink: Mkr:
Lavatory• Standpipe Shamp Site
Rec: Sink: Drain:
Toilet: Garage FD: Surgeons Waitrs
Sink: Stn:
Kit Sink: Local Waste: Sterilizer: Ice Chest:
Comm
Disposal: Bar Sink: �iVe� Ice
' Maker:
Breakrm Int
Dishwasher: Sink: Bidet: Grease
Trap:
Floor Classrm Ext
Drain: Sink: Urinal: Grease
} Trap:
Hose Bibb: Exam Sink: Beer Eye Wash
Tap: Stn:
Water 1 F Prep Sink: Dipper Deduct .
Heater: Well: Meter:
i
Drink Wtr
Gas Floor Sink: Fntn• Sewer
' Mtr:
Clothes wasb Wtr
Wshr• Hand Sink: Fntn: Usage
� Mtr:
Lndry Lab Sink: Catch Misc
Tray: Basin: Fiattures:
*USE/NATURE OF WORK Replace existing water heater- same make&model
*VALUE 6850
ELECTRIC CONTRACTOR
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
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