HomeMy WebLinkAbout2007-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 915 REICHOW ST
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner HERMAN R JOLlTZ
Category 411 - Residential-Water Heaters
Contractor MERTEN PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest FlrlWst Sink
Lndry Tray Clothes Wshr Exam Sink Catch Basin
Disposal Bidet Sculry Sink Wash Ftn
Dishwasher Beer Tap Hand Sink Urinal
Sump Pump Lab Sink Plaster Sink Standp Rec
Classrm Sink Sterilizer Surgeons Sink Ice Maker
Breakrm Sink Dip Well F Prep Sink Gar Drain
Ejector/Grind Drink Ftn Serv Sink Soda Disp
No
123115
Create Date 01/08/2007
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
SFRI Replace gas water heater
Size Material Type # Conn. Type
Sanitary Sewer
,
Storm Sewer <
Water Service
Parcelld #
1309690000
Valuation
Issued By
$1,100.00 Plan Approval
~
$0.00
$25.00 D Permit Voided i
Date 01/08/2007
Permit Fees
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 Date
Agent/Owner
Address 1076 COZY LN
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 Oshkosh
C i/4111111111r1 : \11)
Inspection Services Division
PO Box 1130
Oshkosh, WI 54903 -1130
Phone: (920) 236 -5050 O J HKO ,
--�
Fax: (920) 236 -5084
- --I-' VAYFR
Plumbing Permit Application
I hereby apply for a permit to do anal install the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Cotie,, is the performance of which all parties hereto agree to and are bound by said statutes.
• Application(s) and feels) can be brought to City Hall, 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 $100.00 plus the
normal permit fee. which ewer is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds. check here
i ou ivant this . rocessed throw r h your account •
Job Address 1/5 f ?tt ,-- St- • Value (Including labor and materials) i / 0 C r CC Date (F C •
Owner 14. :11,uvv\i rettib. Contractor h .ti\. r rt,t.LvtA -L + ittrti ^�
]Single Family DDuplex O �Indn
Mniti- Family QRental ❑Commercial" `/
strial
Number of Fixtures:
Bathtub Disposal Drink Ftn Catch Basin
Whirlpool Dishwasher Wait St. Wash Ftn
Lavatory Slim Pomp Ice Chest Urinal
Toilet Ejecsndfrld Exam Sink Gar Drain
Res. Sink Waiter Saltier
Sculry Sink Soda Disp
Bar Sunk Local Was Hand Sink Coffee Maker
Water Heater 1 Clothes W hr F Prep Sink
g Gas = Elect 0 PwrVnt Comm. Ice Maker
Shower Bidet Sery Sink Site Drain
Beex ?tp Int Grease Trap Roof Drain
Floor Drain
Class's!! Sisk
Lndry Tray Ext Grease Trap Standp Rec
Lab Sink Swamis sot R.P.Z. Valve Eye Wash Stn
Steak= Sisk Shamp Sink Wtr Sewer Mtrs
Piaster Sink
Sterilizer Dip Wei Flr/Wst Sink Deduct Meters
Hose Bibs
Misc. Wtr Usage Mfrs
Fixtures
Electric Contractor OR EjElectric Installation Verification form attached
(If Replacement)
Use / Nature of Work
I Size Material Type # Conn. T
Sanitary Sewer YPe
Storm Sewer \.
Water Service
\ Aci
• P
11/05