HomeMy WebLinkAbout0103465-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 637 W 7TH AVE
Contractor MERTEN PLUMBING
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 Lndry Stndp
Res. Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater 1 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner SANDY SMICK/STACY CLAUSEN
Category 411 - Residential-Water Heaters
No 103465
Create Date 08/12/2003
Plan
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
0 WaterSoffner 0 DrinkFtn 0 ServSink 0 SodaDisp 0
0 Local Waste 0 Wait. St. 0 ShampSink 0 Coffee Maker 0
0 ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
0 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0
0 Dent. Oper. 0 Hand Sink 0 Urinal 0 Eye WashStatn 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature SFR/Install gas water heater.
of Work
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Valuation $460.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Date
08/12/2003
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 1087 COZY LANE OSHKOSH WI 54901 - 0000 Telephone Number
231-6795
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.
Cit~ of Oshkosh
/nspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
hx: (920) 236-5084
I hereby apply for a permit m do ~ i~sta[t ~he following phmabmg on the premises hereinafter described, the work to conform to the
Wisconsin State pbmah~ng ~ in ibc performance of which all parties hereto agree to and axe bound by said statmes,
Application(s) and fee(s) can~ brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $I00.00 plus the
normal permit fee, which e~,ee~ ~s greater.
OR
lf ¥ou are a contractor ~artie~'~in~ in the Permit Fee Account System and have adequate funds, check here
if you want this processed tJ~ro~tgh your account ~
Job Address
Owner
~Single Family
Value (Inck~ingta~or and matma,s) C//(o O. oo Date
erfe Plu Lir>o
' I
E]Dupgex {-]Multi-Family I--]Rental [~]Commereial ~ [--]Indu~trlal
l~lumber of Fixtures:
Bathtub
Whirlpool Dis~
Lavatory Dish~asher
Toilet Sun~ ~rap
R~. Sink Ej ~-.ai~l
B~r Sink
~:,Gas [] Elect ~_ PwrVnt Cloff~s ~sl~r
Sho~r Bide~
Floor Drai~ Be~
Lab Sink S~ Sink
Plaster Sink Bre~s:~n Sink
Dent- Oper. Shamp Sink
D/p Well Flr/Wst Sink
Drink Fm Catch Basin
Wail St. Wash Fm
lee Che*t ~
Exam Sink Gar Drain
Sculry Sink So~a Disp
Haad Sink Coff~ Maker
F Prep Sink Ice Maker
Sexy Sink Site Drain
int Grease Trap Roof Drain
Ext Grease Trap Standp Ree
Electric Contractor
Use / Nature of Work
O~R [--]Electric Installation Verificati6n form attael~d
(If Replacement)
Sanitary Sewer
Storm Sewer
Water Service
Size
Material
Type ~ Conn. Type
3/02