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Home My WebLink About0158631-Plumbing (water heater) � CITY OF OSHKOSH No 158631 ' OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 752 JACKSON ST Owner GOLD STAR INVESTMENTS LLC Create Date 10/29/2013 Contractor C SWEETING PLUMBING LLC 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 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 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'* � Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1005190000 Valuation $600.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided!� issued By �� Date 11/05/2013 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 1583 COUNTRY MEADOW CT OSHKOSH WI 54904 -9316 Telephone Number 920-410-4017 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Pertnit 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 Oshkosh Inspection Services Division � P O Box 1130 � Oshkosh,WI 54903-1130 Phone: (920)236-5050 O��O�� Fax:(920)236-5084 ON THE WATER � Plumbing Permit Application I hereby apply for a permit to do and install 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 fee,which ever is greater. OR : I ou are a contractor artici atin in the Permit Fee Account S stem and have ade uate unds check here i ou want this rocessed throu h our account **Advisory-For applicable projects, an Electrical Installation Verification(EI�form, signed by the Electrical Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted with the pernut application. Applications submitted without an EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. Job Address �.J Z �J�K-5o`1 VaIUe(Including labor and materials) �� A� Date �d� ( O—�� Owner Go�� S�/�/� ��d� Contractor C—Sw < < �';�� ]Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial Number of Fixtures: Bathtub Sump Pump Plaster Sink Roof Drain Shower San.Sump/Pump Scullery Sink Soda Disp Whirlpool Water Softener Service Sink Coffee Mkr Lavatory Standpipe Rec Shamp Sink Site Drain Toilet Gazage FD Surgeons Sink Waitrs Stn Kit Sink Local Waste Sterilizer Ice Chest Disposal Baz Sink RPZ Valve Comm Ice Maker Dishwasher Breakrm Sink Bidet Int Grease Trap Floor Drain Classrm Sink Urinal E�ct Grease Trap Hose Bibb Exam Sink Beer Tap Eye Wash Stn W ter Heater X F Prep Sink Dipper Well Deduct Meter �,Gas�Elect 0 PwrVnt Floor Sink Drink Fntn Wtr Sewer Mtr Clothes Wshr Hand Sink Wash Fntn Wtr Usage Mtr Lndry Tray Lab Sink Catch Basin Misc Fixtures Electric Contractor(for projects not requiring an EIV Form) --� Use/Nature of Work ��Ol��c h<<� Size Material Type # C Sanitary Sewer Storm Sewer 0 C T 2 8 2013 Water Service n�er.aRr��+-r o� COV1�4U'�TfY F3r1'Ei.OP�1E. c . . .. ..�"'Y 06/09