HomeMy WebLinkAbout2014-Plumbing (water heater) � CITY OF OSHKOSH No 159855
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1016 WASHINGTON AVE Owner WALTER J SCOTT JR Create Date 03/21/2014
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 FIr/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 DUPLEX/REPLACE GAS WATER HEATER *"debit acct
of Work 'i :
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1100440000
Valuation $1,070.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided j
Issued By ��� + �t/`� Date 03/21/2014
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.
11 07:34:14 a.m. 03-21-2014 1 /1
238 �Zy
City of Oshkosh
Inspcction Services Division �
, P 0 Box 1130 �
Oshkosh,WI 54903-1130
Phone:(920)236-5050
Fax:(920)236-5084 ' K�
ON THE WATER ..
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described,the w�rk to conform to the
Wisconsin State Plumbing Code,in the performance of which all parties hereto a�ree to and are bound by said statutes.
• Application(s)and fee(s)can bc brought to City Hall,Room 205 or mailed to Inspcction Scrvices,PO Box 1128,Oshkosh WI
54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the normal permit fee,which
ever is greater.
OR '
! ou are a c ntractor artici atin i !te Permil F e Accocrnt S stem and have ade uate unds cl�eck l�ere
i ou want tl►is rocessed tbrou h our acc unt
**Advisory-For appIicable projects, an Electrical Installation Veri&cation(EI�form, signed by the ElectricaI
' Contractor or Homeowner(for instaIlations allowed to be perfo�ed by the homeowner)must be snbmitted
with the pezmit application. Applications submitted withont an EIV when snch is required, will not be
processed for Permit Issnaace and wi11 be retnrned for completion.
�m :
Job Address f o �t, r�u�.�rKx� ��"alue(ia�i�a��6 i�t���,a�►«;��9� r�7° Date 3'Z I -/�(
Owner l�Ua��� S t�-FE- Contractor �f��k's .-�I uu,6 �9
❑Single Family .(l]�Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Number of Fixtures:
Bathtub Sump Pump Pias�cr 5iak Roof Drain
Showu 5na Sump/Pump Scullcry Sink Soda Disp
Whidpool Wata SoRrna Service Sink CofTee Mkr
l�vatory Stnndpipe Rec 5ha►np Sink Si1e Drain
Toilet Garage FD 5urgoons Sink Waitn 5tn
Kit Sink Loca1 Waste Sterilizer Icc Chest
Dispomf Bar Sink RPZ Vnlve Comm Ice Mafcer
Dishwdsher Breakrm 5ink Bidet Int Grease Trap
Ftoor Drain Clussnn Sink Urinal Exl Grease Trap
Hose Bibb Facam 5ink Bar Tap Eye Wash Stn
Water Heata � F Prep Sink Dipper Well Deduct Meta
�Gaa-.:Elect ;PwrVnt Floor 5ink Drink Fatn Wtr 5ewa Mtr
Cloth�a Wsiu Hond Sink Wach Fntn Wtr Usabro Mtr
Lndry Tray Lub Sink Catch Bnsin Mis�F'uctures
��
Electric Contractor(for projects not requiring an EN Form)
Use/Nature of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewe�
Water Service
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06/09