HomeMy WebLinkAbout0103933-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 140 GRACELAND DR
Contractor MERTEN PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner STEVE S VANNULAND/MELISSA A
Category 411 - Residential-Water Heaters
No 103933
Create Date 09/04/2003
Plan
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 0 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0
Water Heater 1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 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 $775.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Date
09/04/2003
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.
City of Oahkosh
InspeCdnn Services Division
P OBox t130
Oshkosh. WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
O/HKO/H
THE WATER
Plumbing Permit Application
I hereby apply for a permit to do and install the following 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 a~ 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. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
no~mal permit fee, which ever is greater.
OR
I£vou are a contractor participatin~ in the Permit Fee .qccount System and have adequate funds, check here
i£ vou want this processed through your account
Job .,,,,ress
Owner
~]Single Family E]Duplex EJMulti-Family [-]Rental [~]Commercial ~ [-]Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper. Shamp Sink ~
Whirlpo~ Disposal Dig Well FIr/Wst Sink
Lavatmy Dish,~sher Drink Fm Catch Basin
Toilet Sump Pump Wait. St. Wash Fm
Res. S~k Ejector/Grind lee Chest Urinal
Bar Si~ Water Sofmer Exam Sink Gar Drain
Water ltgatel' / Local Waste Sculry Sink Soda Disp
~a~& Elect D pwrVnt Clothes Wshr Hand Sink Coffee Maker
Showea- Bidet F Prep Sink Ice Maker
Floor Br~n Beer Tap Serv Sink Site Drain
[mdry *l'r~y Clasarm Sink Int Grease Trap Roof Drain
Lab Siz& Surgeons Sink Ext Grease Trap Standl: Rec
Plaster ~mk Bveaknm Sink
ElectricContractor
Use / Nat*are of Work
O-R ['-]Electric Instalhition Verificatidn form attached
(If Replacement)
Sanim.-D' Sewer
Store Sewer
Size
Material Type # Conn. Type
Water Service