HomeMy WebLinkAbout0158549-Plumbing (water heater) � CITY OF OSHKOSH No 158549 .
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 714 FRANKLIN ST Owner MARALYN J ZWICKY Create Date 10/30/2013
Contractor D R GLAZE PLUMBING 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 FIr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. p
Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. p 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
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 5FR/replace water heater �
of Work
'*ck#1240"
i
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1005060000
Valuation __ $800.00 Plan Approvai _$0.00 Permit Fees $30.00 ❑ Permit Voided
Issued By � Date 10/30/2013
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 1865 JAMES RD OSHKOSH WI 54904 -6873 Telephone Number 920-589-4014
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 of Osl�kosl�
I�spection Sen-ices Dn-isiou � ��. ����� �
P O Box 1130 � �
Oshkosi�,�'VI 5-t903-1130 � ��
Phoi�e: (920)236-50�0 �L�
F�x: (9?0)236-503� (Q�����,j I (1� � �
ON THE WATFR
Plumbing ermit Application
I liereby appl}�for a pe�YUit to do wd iustall tlie follo«%ui,pluwbiu,ou die pi•euiises hei•euiat�er described,the nork to coufo�YU to the
�i'isconsiu State Plumbiu,Code,in tlte pei�oiYUmice of«iiich all p<uties l�ereto a,ree to wd<u�e bouud b}'s�id�ah�tes.
• Applicatiou(s)wd fee(s)c<�u Ue brouglit to City Hall,Roow 205 or uiailed to Iuspectiou Sen-ices,PO Box 1123,Oslil:osi���'I
5=�903-1133. Comuieucni,�a-o�i:�vithout pei�nit(s)�vill i•es1iB ui fees beni,doubled or$100.00 phis Hie uot7ual pe�uiit fee,lti-hich
e�-er is aa•eater.
OR
If vou are a contractor participafing in the Permat Fee Account Svstem and have adequate funds check here
if vou want this processed through your account n
**Advisory-Far applicable projects, an Electrical Installation Verification(EIVj form, signed by the Electrical
Contractor or Homeowner(for installafions allowed to be pecformed by the homeowner)must be submitted
with the permit application. Applications submitted without an EIV when such is required,wi11 not be
processed far Permit Issuance and will be refiurned far completion.
� �
Job Address 7(� f�A�(4'L(n� STTc�C� �'IIIUe(Includinglabor andmatenals) �'�� Date Ii7 �t� �3
�Ow er �,�� �",; � Contr�ctor � ,��4czc P�L36r
igle Famih� ❑Duplea �Tlulti-Fainil� ORe�ital ❑Commercial ❑uuhistrial
Number of Fiztures:
Bathtub Sump Pump Plaster Sink Roof Drain
�oW� _ San.Sump/Pump ��_ Scullery Sink �� SodaDisp
Whiripool Water Softener Sexvice Sink Coffee Mkr
Lavatory Standpipe Rec Shaznp Sink __ Site Dzain
Toilet GazageFD Surgeons Sink Waitrs Stn
Kit Sink Local Waste Sterilizer Ice Chest
Disposal Baz Sink RPZ Valve Comm Ice Maker
Dishwasher Breaksm Sink Bidet Int Grease Trap :
Floor Drain Classnn Sink Unnal Ext Grease Trap
Aose Bibb Exam Sink Beer Tap Eye Wash Stn
Waft Heater � F Prep Sink Dipper Well Deduct Meter
Y Gas Elect PwrVnt Floor Sink Drink Fntn Wh-Sewer Mtr
Clothes Wshr Hand Sink Wash Fntn
Wtr Usage Ivltr
Lndry Tray Lab Sink Catch Basin Misc Fixtures
Electric Contractor (for projects not requirin an EI�'Form)
tJse/Nature of�`'ork c �
Size 11i�terial Type Couu.Type
Switvy Se�ver ��T 2 9 201
Stouu Senrer ��j'.a;,��,��:�r u
C0�7>1U�d"�'✓�?�'�ti'E9.0 MENT
��'ater Se��-ice TNSPECTtC�• :�.€'+/"sr'E:S I�'ISIO'.V
06/09
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