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Home My WebLink About0158721-Plumbing (water heater) /�'� CITY OF OSHKOSH No 158721 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1255 HURON CT Owner JOHN P JUEDES Create Date 11/11/2013 Contractor M P KELLY Category 411 -Residential-Water Heaters Plan Inspector Jon Mueller Bathtub 0 Clothes Wshr O 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 FINWst Sink 0 Bidet 0 Site Drain 0 Misc. p 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 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 Heater 1 Use/Nature jSFR/REPLACE GAS WATER HEATER **check#13018 of Work I Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1525750000 Va�uation $913.0 Plan Approval ___ $0.00 Permit Fees $30.00 ❑ Permit Voided �. _- - — --- � Issued By �l Date 11/11/2013 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 AgenbOwner Address 665 N MAIN ST _ OSHKOSH_ WI 54901 -4431 Telephone Number 231-1750 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 Oshkosh ��„`�� y��E� lnspecUon Services Division � POBox 1130 N�� 1 1 2��3 � Oshkosh,WI 54903-1130 Phone:(920)236-5050 u�/ u ! Fax:(920)236-5084 '�EPART�1ExT I 11��,�I I � '"S:�tUNITY DEVELO �IE�T TNf WATFR Plumbing Permit Appli��SER�'ICESDI�'IS10V I hereby apply for a permit to do and install the foltowing 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 �vou are a contractor partici�ating in the Permit Fee Account Svstem and have adequate funds check here ifvou want this processed thr•ough y_,our account n **Advisory-For applicable projects, an Electrical Installation Verification(EI�form,signed by the Electrical Contractor ar Homeowner(for installations allowed to be performed by the homeowner)mnst be snbmitted with the pernut application. Applications submitted withont an EIV when sach is reqaired,will not be processed for Permit Issuance and w�l be returned for completion. Job Address /��S /«��'��IUC(Including labor and tnataials) f�•00 Date 4 �0 �t,� Owner L'��zl�t►ntractor �-'m.� ��— ��i�gle Famtly ❑Dupl ❑Multi-Family ORental ❑Comme ial ❑Industrial Number of Fixtures: � Bathtub Sump Pump Ptaster Sink Roof Drain Shower San.Sump/Pump Scullery Sink Soda Disp Whidpooi Waur Softener Service Sink Coffee Mkr Lavatory Standpipe Rx Shamp Sink Site Drain Toilet Cruage FD Surgeons Sink Waitrs Sm Kit Sink Local Waste Sterilizer Ice Chesc Dispasal Bar Sink RPZ Valve Comm Ice Maker Dishwasher Breaknn Sink Bidet Int Grease Trap F��,D� Ctassrm gink Urinal Ext Greasc Trap Hose Bibb — Exam Sink Beer Tap Eye Wash Stn Wata Heater / F Prep Sink --- Dipper Well --- Deduct Meter �s.L�Elect;l PwrVnt Floo�Sink Drink Fnm Wtr Sewer Mtr Clothes Wshr Hand Sink Wash Fnm Wtr Usage Mtr Indry Tray Lab Siolc Catch Basin Misc Fixtures Electric Contractor(for p jects not r ui g an V Form) Use/Nature of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service 06/09 � City of Oshkosh � Division of Itsspection Services 215 Church Avenue PO Box I 130 Oshkosh WI 54903-1130 Office 920.231►5050 � ON TH wnre Faa 920-236-5084 � Electric Installation Verification , I (We) � ' � (Elec ' al Contrac r Name) � sa �,1 �%� �G� � 5d (Address) (City) (State) (Zi Code) have been contracted to perform electric installation work for � , ame of par�, contract�t to) . at the following address: .� (Address where work will be performed) The nature of the work consists of (Check One or Describe the Nature of Work) � Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser. Reconnection or new circuit for replacement Electric Water Heater or power vented water heater. Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles and lighting fixtures due to siding/soffit installation. Note: New Service Entrance Cables will require a separate permit. Reconnection or new circuit for the replacement of other permanently wired appliances/fixtures. New circuit for the addition of A/C to an individual dwelling unit(house or the individaa] systs�s ir a duplex or ccr.C�i02T'i1:,ii:.-n), including required service electrical outlets. Other The value of this work is $ �G/• � I hereby verify this work will be performed by an employee of this company and further verify the reconnection/installation will be done in compliance with manufacturer and Electric code requirements. J� �' (.�..�- �� + — - �, /o � �3 (Si atur o ompany Officer) (Print N of Officer) (Date) sio2