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Home My WebLink About0159176-Plumbing (water heater) � CITY OF OSHKOSH No 159176 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1501 WESTHAVEN CIR Owner LYLE UELLA MAE BECK REV TRUST Create Date 12/31/2013 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. 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 SFR/replace water heater of Work 'debit acct*' � Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1322000000 Valuation $1,070.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided Issued By `� Date 12/31/2013 in the performance of this work, I agree to perform all work pursuant to rules goveming 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 314 APPLETON 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-31-2013 09:10A FROM:DRUCKS PLUMBING C920)722-0651 T0:2365084 P.1 23703 � 25 °° ' ;: City of Oshkosh Inspcction Services Division P 0 Box i130 � Oshkosh,WI54903-1130 � Phone:(92Q)236-SOSO Fax:(920)236-5084 , � � ON H WAT R � Plumbing Permit Application I hereby apply for n pertnit to do and install�he following p(umbing on the premises hereina8er described,the work to conform to the Wisconsin State Plumbing Code,in the performancc of which all 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,P�Box I 128,Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or$10�.00 plus the normal permit fa,which ever is greater. OR �, � � are o o ractor qr i ' at n ' 1h r ft ee ccaui�t S tem nd h e a i n lie here wanl thls roc ssed t/rrou 1i,voarr accoun **Advisory-Foz applicable projects, an Elechical Installadon Verificadon (EI�Form, signed by the Electrical Contractor or I3omeowner(For installadons allowed to be performed by the homeowner)mnst be sabmitted witi�the pernut application. Applications snbmitted without an EIV when such is reqnired, will not be processed for Peimit Issnancc and will bc retarned for compiedon. Job Adclress �So 1 �S�{,�� CN-, VaIU@(lncluding luborand mnterials)_ I 07p � Date �2-3�-1'3 Owner � Q�� Contractor �/'utK S Iv,�,,6 �5'fngle Family ❑Duptex ❑Mutti-Famil y �Rente! ❑Commercial Industrial Number of Fixtures: 9ethtub Sump Pump Plaster$ink Showa Roof Drein San.5ump/Pump Scullcry Sink 14hirlpool WotcrSoRrna Soda Disp Servico Sink Coffa Mkr �V°�0n' Standpipe Rec Shamp Sink Toilet Site Drein Gorn�e FD Surgeons Sink Wai�rs Stn Kit Sink Locol Waste Stcrilizcr f«Chcs� Disposal Bar Sink RPZ Valve Comm Ice Maker Dishwos}kr Breakrm Sink �idd tnt Grease Trnp Floor Dratn Clnssrm Sink Urinat Fact Grense Tr�p Nou Bi6b Ezom Sink Bea Top Eye Wosh Stn Watc,� eu�a � F Prep Sink Dipper Well Deduct Me�er ' � Elect i PwrVnt Floor Sink Drink Fnm Wtr Sewc M�r Clothn Wshr Hond Sink Wash fntn Wtr Usuge Mtr �� rfly Lnb Sink ,r Catch Basin Miu Fixturee Electric Contractor(for projects not requiring an EIV Form) Use/Nature of Work Siu Material Type t� Conn.Type Sanitary Sewer Storm Sewer Water Service 06/09 , — - - _ —�--_-------- -- --- ---_—._....u_- - --_ I i