HomeMy WebLinkAbout0122799-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 118 W NEVADA AVE
PLUMBING PERMIT- APPLICATION AND RECORD
CITY OF OSHKOSH No 122799
Owner NORMAN R STODDARD Create Date 12/05/2006
Plan
Contractor MERTEN PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Category 411 - Residential-Water Heaters
Water Softner Wait. St. Shamp Sink
Local Waste Ice Chest FlrlWst Sink
Clothes Wshr Exam Sink Catch Basin
Bidet Sculry Sink Wash Ftn
Beer Tap Hand Sink Urinal
Lab Sink Plaster Sink Standp Rec
Sterilizer Surgeons Sink Ice Maker
Dip Well F Prep Sink Gar Drain
-
Drink Ftn Serv Sink Soda Disp
Use/Nature
of Work
iSFR /INSTALL GAS WATER HEATER
I
I
!
i
I
I
I
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Sanitary Sewer
Storm Sewer
Water Service
Size
Material
Type
Parcelld #
1501550000
#
Conn. Type
$0.00
Permit Fees _____E~.OO 0 Permit Voided I
Valuation ~_-.-!~O.OO Plan Approval
Issued By ~W
Date 12/05/2006
.
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 strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Agent/Owner
OSHKOSH
WI 54901 - 0000 Telephone Number 231-6795
Address 1076 COZY LN
Date
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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.
f"
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh. WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
DEC05V
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OJHKO/H
!):'\i -'-I~ \../AlFR
Plunlbing Permit Application
I hereby apply for a permit to do and ttlSiall the following plumbing on the premises hereinafter described. the work to conform to the
Wisconsin State Plumbing Oode, in the performance of which all parties hereto agree to and are bound by said statutes.
· Application(s) and fee(s) can be broughtto City Hall, Room 205 or mailed to Inspection Services, PO Box 1128.
Oshkosh WI 54903-1128. Cammencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
[{yOU are a contractor particivatill,? in the Permit Fee Account System and have adeauate funds. check here
if yOU want this processed thriou'jJh your account n
Job Address
Owner \ r
~Single Family Onllpla:
r, Number of Fixtures:
Bathtub
Whirlpool
tavatory
Toilet
:Res. Sink
Bar Sink
Water Heater r
)tbas 0 Elect 0 PwrVnt
Shower
floor Drain
Lndly Tray
Lab Sink
Plaster Sink
Srerilizer
Misc.
FIXtures
Electric Contractor
Diqlosai
~
~Pmnp
~
W11tte.r Soflne!'
Local Waste
Clothes Wsbr
Bidet
Beer Tap
Oassrm Sink
Smgeom Sink
BRaknn Sink
Dip Well
Blose Bils
OR
DElectric Installation Verification form attached
(If Replacement)
Use / Nature of Work
r\
ii
! Sanitary Sewer
~
i Storm Sewer
l Water Service
Size
Material
V'e ' Value (Including labor and materials) (y 701 eo Date IJ /~ 71 f) i
Contractor -V11l,~~k,~ +[.ioi;j J,~.
DMulti-Family DRental DCommercial { Dlndustrial
..... .... . Drink Ftn Catch Basin
Wait St Wash Ftn
Ice Chest Urinal
Exam Sink Gar Drain
Sculry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Si~ Corom. Ice Maker
ServSink Sire Drain
lot Grease Trap Roof Drain
Ext Grease Trap , Standp Rec
RPZ. Valve Eye Wash Stn
Shamp Sink Wtr sewer Mtrs
F1rlWst Sink Deduct Meters
Wtr Usage Mtrs
Type
#
Conn. Type
11/05