HomeMy WebLinkAbout0158709-Plumbing (water heater) � CITY OF OSHKOSH No �58�os
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 807 OTTER AVE Owner JEFFREY MARKS ETAL Create Date 11/11/2013
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 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. � Fixtures
Kit Sink 0 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest p
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 IDuplex/Replace water heater -- - -- - -- -�
of Work
"debit account
�
�_
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0802160000
Valuation $760.00 Plan Approval __ $0.00 Permit Fees _ $30.00 ❑ Permit Voided�
Issued By 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
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 of Oshkosh
[nspection Services Division �
P 0 Box 1130 �
Oshkosh,WI 54903-I 130
P6onc:(920)236-5050
Fax:(920)236-5084 �I H
ON THE WnTER
Plumbing Permit �pplication
]hereby appty�or a permit to do and install thc follawing plumbing on the premiscs ha�einaRcr described,thc work to confortn to the
Wisconsin State Alumbing Code,in the performance of whieh all�arties hereto agree to and arc bound by Qaid statuts,�.
• Application(s)and fee(s)can be brought to City Ha11,Room 20S or mailed to lnspection Serviees,PO Box 1128,Oshkosh Wl
54403�1 t28. Commcncing work without permit�s)will rasult in fccs being doublcd or 5100.00 plus the normal permit fc�,wfiich
evcr is greater.
OR
If x�a ere a eonlra�[�r narticina/En� in 1 � ermil ge Account Svsl____cn�and h�d�quaJe t,�rds cheek here
rj,,,y�o,g,wanl �(�,�,s proc��ed lhreuph vour �counl
**q,dvisory-For appbicable ptojects, an�Icctric���4tall�t�ion Yeti£tca�ion(E�fo:m,sigaed by thc Elertx�ical
Con�G[actor or Homeowncx(for nastallatimns ailowed ta be pe�ormed by thc bom�owaer)mu..at be sabmitted
with tbie�erm�it a�plicat�iion. Applacations sabmitted withont an EIV wbca sacL is xequiireed, w�l,aot b�
�nmcc.�.ced�or Perooit Lssua�rxcc and wi11 be retnrncd frnr complet,lon. .
Job Address 0 v� 0 1/ '�°� VaII1e(h�cluding labornnd macaiela)� � `� Aate ��
Owner C o r �r Contractor � . I` ►'�h ���� �..�-C.
❑Sin�le Fam�fy �Dnp�ex []Mniti-k'amily �Reutal ❑Comroercial ❑ astrisl
Nomber of Fi�ture.c: •
Ba��uy Sump Pump Plasld�Siok Rlwf[hain
ShowCr Sen,Sump/Pim1p Scullcry 9ink Sode bi�
Whirlpool wa�or SoRener Service Sink GoEfoe Mkr :
(,�vatpry Stnndpipe Ra 9hamp Sinlc ____,_, Sitc pram
Toilet C3uraRe Fb 9urgcons Sink WRiuR 5tn
Kit Slnk Loql W:�gcc Scariliur ____� Ico Ch�vt
. p��� pu�Sink RFZ Valvc Cnmm Ice Mnka
��`�a. Arc�+krm Sink Bidu Tnt Grcax T�sp
Floor Drain Cix�wm Sink UrMal F,xt G�SC Trap
Hoso Bibb Ex�m Sink 9ccr T�p �ye Wash 31n
Water Hastcr �, �1'rc�Sink ,_, Dipper Well Dedirot Mctc
p�Crnx❑qoct n PwrVnt �loor Sink Drink Fnut Wtr 3cwcr Mtr
Cloth�Wshr Fiand Sink ' . Wash l:nu1 '. ' Wlr Ueage Mtr
LtMry 7ray Leb Siek C•ntd�Basm . Miec Flxtu�
Elcctric Contractor(for projccts oot requiring a� �N Form)
Use/Natare of Work
Sizc Matorial T�pc #, , Conn.Type -
Sanitery Sewor
Storm Scwer
Watcr Scrvicc
06/09