HomeMy WebLinkAbout0117519 P
e CITY OF OSHKOSH No 117519
OSHKOSH PLUMBING PERMIT. APPLICATION AND RECORD
ON THE WATER
Job Address 433 W 14TH AVE Owner RIDGE J STUMPF/LISA J TROUDT Create Date 12/06/2005
Contractor MERTEN PLUMBING Category 411 - Residential-Water Heaters Plan
Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Ice Chest 0 Flr/Wst Sink 0 Int Grease Trap 0
Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Hand Sink 0 Urinal 0 Eye Wash Statn 0
Plaster Sink 0 Standp Rec 0 Wtr Sewer Mtrs 0
Surgeons Sink 0 Ice Maker 0 Deduct Meters 0
F Prep Sink 0 Gar Drain 0 Wtr Usage Mtrs 0
Serv Sink 0 Soda Disp 0
Bathtub 0 Shower 0 Water Softner 0
Whirlpool 0 Floor Drain 0 Local Waste 0
Lavatory 0 Lndry Tray 0 Clothes Wshr 0
Toilet 0 Disposal 0 Bidet ~
Res. Sink 0 Dishwasher 0 Beer Tap 0
Bar Sink 0 Sump Pump 0 Lab Sink 0
Water Heater 1 Classrm Sink 0 Sterilizer 0
Site Drain 0 Breakrm Sink 0 DipWell 0
RoafDrain 0 Ejector/Grind 0 Drink Ftn 0
Misc. 0
Fixtures
Use/Nature
of Work
r"'=' ~,,~,~ w,~ ""'"
Size
Material
Type
#
0
0
0
0
0
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Valuation
$670.00
Plan Approval
$0.00
Permit Fees
0
0
0
0
0
$20.00 0 Permit Voided I
Parcelld #
0907300000
Issued By
Date 12/06/2005
In the performance of this work, I agree to perform all work pursuant to rules goveming 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 stron9iy 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
WI 64901 - 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.