HomeMy WebLinkAbout0116121-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 1010 N WESTFIELO ST
CITY OF OSHKOSH
No
116121
PLUMBING PERMIT - APPLICATION AND RECORD
Owner EVERGREEN RETIREMENT COMM INC
Plan
Create Date 09106/2005
Category 411 - Residential-Water Heaters
Contractor MERTEN PLUMBING
Bathtub 0 Shower 0 Water Softner 0 Wait. St.
Whirlpool 0 Floor Drain 0 Local Waste 0 Ice Chest
Lavatory 0 Lndry Tray 0 Clothes Wshr 0 Exam Sink
Toilet 0 Disposal 0 Bidet 0 Sculry Sink
Res. Sink 0 Dishwasher 0 BeerTap 0 Hand Sink
Bar Sink 0 Sump Pump 0 Lab Sink 0 PlasterSink
Water Heater 1 Classrm Sink 0 Sterilizer 0 Surgeons Sink
Site Drain 0 Breakrm Sink 0 DipWell 0 F Prep Sink
Roof Drain 0 EjectorlGrind 0 Drink Ftn 0 Serv Sink
Misc. 0
Fixtures
UselNature I "IT ~~~'OO'"
of Work
Size Material
Sanitary Sewer
0 Shamp Sink 0
0 FlrlWst Sink 0
0 Catch Basin 0
0 Wash Ftn 0
0 Urinal 0
0 Standp Rec 0
0 Ice Maker 0
0 Gar Drain 0
0 Soda Disp 0
Coffee Maker ~
Int Grease Trap ~
Ext Grease Trap ~
RPZ Valve 0
Eye Wash Statn 0
Wtr Sewer Mtrs 0
Deduct Meters 0
Wtr Usage Mtrs 0
Storm Sewer
Water Service
Type # Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00 0 PermitVoided
Parcelld #
Valuation
$700.00
$0.00
Permit Fees
Plan Approval
Issued By
Date 09/06/2005
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
Address 1076 COZY LN
Agent/Owner
OSHKOSH
Telephone Number 231-6795
WI 54901 - 0000
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.