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HomeMy WebLinkAbout2007-Plumbing (water heater) o 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