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Home My WebLink About2013-Plumbing (water heater) � CITY OF OSHKOSH No 158724 OSHKOSH PLUMBING PERMIT -APPUCATION AND RECORD ON THE WATER Job Address 723 WRIGHT ST Owner SAM LLC Create Date 11/11/2013 Contractor D.R.HANSEN PLBG. Category 411 -Residential-Water Heaters Plan Inspector Jon Mueller Bathtub 0 Ciothes 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. 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 DUPL ERXE /PLACE GAS WATER HEATER '*debit acct of Work ' i � � i Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 0500100000 Valuation $760.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided Issued By �YY�—� 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 � : ltupccNon Services bivisioa � P 0 Box 1130 Oshkosh,WI 54903-1134 � Phone:(920)236-5050 Fax:(920)236-5084 UN TTiE�NATER Plumbing Permit l�pplication J hereby apply for a perrrut to do and install the following plumbing on th�premises hereinafter describcd,the work to conform to the Wisconsin S�te Plumbing Codo,in die performana of which all partics hereto agr�e to and are bound by sAid staWtcs. • Applicecion(s)and f�c(s)can be brought to Ciry[�iall,��m 205 or mailed to inspectfon Services,PO Box 112R,Oshkvsh Wi 54903-1128. Commencing work without permtt(s)wi��r�sult in faes being doubicd or�100.00 plus the normal permit fee,which ever is grcater. OR e nd ve adea��e �'unds c c ere / u a e c n rac r r1i a�i i he er " Fe A i v wa 1hi io as d /hro:�yr accounl **Advisory-For applicablc�rojccts, an Elcctnical In►staUad°'°'ve�cati°n(FTV)�°�,�'cd by tb�c Electnlcal Coaa�actrnr or Homeowncr(frnr installations allowcd to be perfo�med by thc homeowner)mnst be submitted with thc pcy.mit aPPGcadon. Appl�catio�s sabmitted wi�thont a�EIV whdn sacb is r�qnirced,wi�tl nat be : processed fo�r Penmit�s.cuarice und w�11 be retaraed�or compl�ctirnn. '� .7 6 � l� � � -�3 'A , , l nat� Job Address `�`-'� � "` �� VAIUQ(lncludinglnlx�rand me�K�Rls) Contractor �• 1` • �M�r� Owner ��C�G C dustrinl lex Multi-Fami�y �Rcntal �Commcrcial Q ❑Singlc k'9mily �Dpp � Nunaber of Fixtures: Plsntcr Smk Ra+f Drain BaU+wb SO"�P�p Shower SAn.3wnp�PUmP Scullery Sink Soda Disp Whirlpool WT�cr Soft�ener Serviee Sinlc Goffa Mtrr ghamp Sink Sicc Drain Ll►va�ory S�D�(�Ra y��Sink Wnius Scn Toilet �1°R°� Ice Chrst l.ocal W�rtte Stcilitcl Klt Sink C�mttt Icc Meka Ber 5+� RPZ Valve �''`�0�� 13idel Int Greo.:e Tr�p Breakrm Sink DisMvasher Urinal �G"�T� Classrm Sink Floor brein geer Tc�y+ Eye Wesh Sm Hosc 6ibb E�m Sink -- � pipqer wcll Daluet Metcr We�er Hcrtrr F Prop Sink Drink Frtm Wlr Scwer Mtr ��es p 51oct[1 PwrVnt Floor S�nk Wu Utcage Mtr Cbthes Wshr �.,., t�and Sink ' . Wanh Fntn •. ��m , Miec Fixau�cs �,,,d�,T�y (ab Sink EI�cCric Contr9ctor(for�rojects not�-equirin�an E�V Form) Use/Nature of Work _ Si�.c Material Type #, � Cann.Typc � Sanitary Scw�r Storm Scwer Watcr SeNicc p6/09