HomeMy WebLinkAbout0103931-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 123 W 11TH 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 ARLENE BLEICHWEHL
Category 411 - Residential-Water Heaters
No 103931
Create Date 09/04/2003
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
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 O~kkosh
Inspection Service~
P O Box 1130
Oshkosh, WI 54903-113~
Phone: (920) 236-5050
Fax: (920) 236.5084
OJ'I-tKOJ"H
Plumbing Permit Application
I hereby apply for a petm/t ~ ~ and install thc follow/ng pl~rabing on the premises hereinafter descfft~d, the work to conform to the
Wisconsin S~atr: Plumb~g Code, in the performance of which all parties hereto a~'ee to and axe bound by said statutes.
Application(s) and fee{s) eau be brought to City Itall, 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. wbJ~h ever is greater.
OR
If you are a contractor ~varticipating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account N
Single Family [ l) lex DMulti-V ay [-'[Rental ['-]Commercial [--]Industrial
Number of Fixtures:
Bathmb I=l~,y Slandp Dent. Oper. Sham~ Sink
Whirlpool Di~ixr~al Dip Well Flr/Wst Sink
Lavatory Diflawasher Drink Fm Cash Basin
Toilet ~np Pump Wait. St. Wash Fm
Res. Sink t~ector/Gfind Ice Chest Urinal
Bar Sink Water Sorrier Exam Sink C~r Drain
Water Heater ] l. xa:al Wa.ate Scul'ty Sink Soda Disp
~Cras rn Elect E l~,~rVnt Clofl'a~ Wsbr Hand Sink Coffee Maker
Shower ~ F Prep Sink lee Maker
Floor Drain ~ Tap Sen' Sink Sim Drain
Lndry Tray Cl~*~nn Sink Iht Grease Trap Payor Drain
Lab Sink Sargeons Sink Ext Grease Trap Slandp Rec
Pla~ter Sink Bmakrm Sink
Sterilizer
Electric Contractor
Use / Nature of Work
O-R [-~Eiectric Installfifion Verificafidn form attached
(If Replaccmcnt)
Sanitary Sewer
Storm Sewer'
Water Service
Siz~e
Material Type # Conn. Type
- - ~/o2