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Home My WebLink About0159131-Plumbing (water heater) :. � � CITY OF OSHKOSH No 159131 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 904 W 10TH AVE Owner JOHN/ELIZABETH ZINK Create Date 12/19/2013 � Contractor C SWEETING PLUMBING LLC Category 411 -Residential-Water Heaters Plan Inspector Jerry Fabisch 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 FldWst 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 Disposai 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 FR/installing a water heater '*debit acct 1 of Work � I I i �-_ — —� --- -- - -- - Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1302450000 Valuation $650.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided I Issued By �d � Date 12/20/2013 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 Agent/Owner 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, 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 ' Inspection Services Division � P O Box 113U � Oshkosh,WI 54903-1130 Phone:(920)236-5050 Fax:(920)236-5084 O KO � ON THE WATER Piumbing Permit Application I hereby apply for a permit to do and install the fotlowing 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 aze bound by said statutes. • Application(s)and fee(s)can be brought to City Ha(i,Room 205 or mailed to Inspection Services,PO Box 1128,Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees beina doubled or S 100.00 plus the normal pernut fce,w6ich ever is greater. OR I ou are a contractor artici atin in th Permit Fee Account S stem and have ade uate unds check here i ou want this rocessed throu h our account t *�Advisory-For applicable projccts,an Electrical Installation Verification(EI�form,signed by the Electrical ' Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be sabmitted with the pemut application. Applications sabmitted withont an FIV when sach is requQed,w�l not be processed for Permit issaance and w�l be retarned for completion. Job Address 9d 1/ /D �`` S7" Value��ua�,g tabo��a�c��s� � s v p�� Date /.+L l�—� 3 Owner �o� � Z. r�-� lC Contractor• G - •5�_... � � �+ r�, �Q/S� < < < �Single Family �Duplea ❑Mutti-Family ❑Rentat OCommercial DIndustriat Number of Fiatures: Bathtub Sump Pump Plaster Sink Roof Drain Shower San.Sump/Pump Scullery Sink Soda Disp Whidpool Water SoRener Service Sink Coffee MIQ Iavatory Standpipe Rec Shamp Sink Site Drain Toilet Garage FD Surgeau Sink Waitrs Stn Kit Sink I.ocal Waste Sterilizer Ice Chest Disposal Bar Sink RPZ Valve Comm Ice Maka D�� Breakrm Sink Bidet Int Grease Trap Floor Drain Cla�.cmi Sink Urinal Ext Grease Trap H�B�� Exam Sink Beu Tap Eye Wash Stn Water Heatu � F Prep Sink Dippa Well Deduct Meter 1�(,Cras 0 E{ect O PwrYnt Flaor Sink Drink Frttn Wtr Sewes Mtr � Clothes Wshr Hy�$�� Wash Fnfi Wtr Usage Mv Indry Tray L.ab Sink Catch Basin Misc Fixtures Electric Contractor(for projects not requiring an EIV Form) Use/Nature of Work >"G,�'�l4 �� !'� � Size Materiat Type # Conn.Type Sanitary Sewer Storm Sewer Water Service 06/09 i