HomeMy WebLinkAbout0103932 POSHKOSH
ON THE WATER
.lob Address 1523 WISCONSIN ST
Contractor MERTEN PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner ANGLE L JONES
Category 411 - Residential-Water Heaters
No 103932
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 $460.00 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.
~:ecfion Services Division
~POBox 1130
ar,~,aco~ WI 54903-1130
lffm~e: (920) 236-5050
(920) 236-5084
Plumbing Permit Application
ll~ereby 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 are bound by said statutes.
Apphcation(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 l~-,;~(s) will result in fees being doubled or $100.00 plus the
normal perrrfit fee, which ever is greater.
iff you are a contractor participatin~ in the Permit Fee Account System and have adequate funds, check here
~_vou want this processed through your account n
l~bAddress /525 ~AJ~T. ~.
~}Single Family ~Duplex
l~m~ber of Fixtures:
]t~a~Mub Lndry Standp
~ripool Disposal
Lavatory Dk~hwasher
· re~t Sump Pump
]~s. Sink Ejector/Grim:l
tttla'Sink Water Sofmer
t
Gas 7~ Elect E PwrVnt Clothes Wsl~r
~,~ter Bidet
Electric Contractor
Use / Nature of Work
Dear- Oper. Sham~ Sink
Dip Well FlffWst Sink
~ Fm Catch Basin
Wait. St Wash Fm
lee Chest Urinal
Emro Sink Gar Drain
Sc~ Sink Soda Disp
~ Sink Coffee Make~
F P~ Sink ice Maker
ge~v Sink Site I)min
Iut (]~ase Trap Roof Drain
ExI C~ase Trap Standp Re~
O~R [~Electric Installation Verificati6n fora attached
(If Replacement)
~ Sewer
Sewer
Service
Size
Material
T~e ~ Co~,T~e
3/02