HomeMy WebLinkAbout0159145-Plumbing (water heater) � CITY OF OSHKOSH No 159145
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
JobAddress 236 W SOUTH PARKAVE Owner ELIZABETH M EYERS Create Date 12/26/2013
Contractor DRUCKS PLUMBING&HEATING CO INC 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 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 FR/INSTALL POWER VENT WATER HEATER "debit acct �
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0901400000
Valuation $� Plan Approval __ $0.00 Permit Fees $30.00 ❑ Permit Voided !
Issued By o Date 12/26/2013
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 314APPLETON ST MENASHA _ WI 54952 -2318 _ Telephone Number 426-2654
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.
C-24-2013 12:49P FROM:DRUCKS PLUMBING C9z0)722-0651 T0:2365084 P.1
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2 37 a�'S' Zs°=
City of Oshkosh
Inspection Services Division
P O Box 1130 �
Oshkosh,WI54903-1130 �
Phone:(926)236-5050
Fax:(920)236-5084 ,
Plumbing Permit Application �N H W^r R .
I hereby apply for a permit to do and install the following plumbing o�the premises hereinaRer described,the work to conform to the
Wisconsin State Plumbing Code,in thc performancc of which atl parties hereto a�ree 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. Commeneing work without permit(s)will result in fees being doubled or SI00.00 plus ihe normal permit fee,which
ever is Ereater.
OR
! � are a � � to r ci tin l rm F e un S s� �
i o w n tb' oc s• d l�r u h o r co rn " � "'�ds ��e h re
**Advisory-For appIicable projectc, an Electr�ical Installation Vcrificadon
Contractor or Homeowner(for installations a(lowed to be performed by the homeowlner)�mnst be bmittedc�
with the perniit application. ApplicaGions snbmitted withoat an EIV when such is required, will not be
processcd for Permit Issuance a.ad w�i be retnrned for completion.
JOt1E�d(�I'ESS__23� SOC�4-�n PA�yiC1QV�JAIUQ(Includin�taborendmataials) �3�� /
DAte Z• Z�- �3
Owner F'F £ er'S Contrnctor 1�rvr�c S �,,,,,,��
�ingle Family Duplea [�Mu1N-Famil �—"—�S —
y QRental ❑Commercial ❑Industrial
Number of Fixtures:
Bethtub Sump Pump
Plaaor Si�k RooP Drnin
Showw Sqn.Sump✓Pump Scullcry Sink
�'�hP°O� Water Sollena Soda Disp
Srnico Sinlc CofFec Mkr
Lewrtory S�pndpipe Rec Shemp Sink
Siie Diuin
Toilet Gnru�e FD
Sury�eons Sink Waitrs Sln
Kit Sink Locul Was�e
Sierilizer Ice Chesl
��sPOS°� BarSink RPZ Vulve
Comm Icc Mektt
Dishwesher Breakrm Sink Didet Im Greose Trap
Floor Drain Clnssrm Sirtk Urinel Ext Grease Tfap
Hose Bibb Exam Sink Bea Tap Eye Wavh Stn
Wuter Healer 1_ F Prop Slnk Dipper Well Deduct Meter
- Gac Elxt j/�arVm Floor Sink
Drink Fn�n Wtr Sewa MIr
Clolhcs Wshr Hend Sink Wash Fnm Wtr Uwga Mir I ;
Lndry Tray I.eb Sink
,, Catch 8asin Misc Fixmra
Electric Contractor(for projects not requiring an EIV Form) '
Use/Nature of Work �
Size Material 'Cype # Conn.Type
Sanitary Sewer
Storm Sewer
Water Scrvic�
06/09