HomeMy WebLinkAbout0123692-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 1350 MORELAND ST
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner ROBERT A MAKI/SUSAN D HARWOOD
Contractor MERTEN PLUMBING
Category 411 - Residential-Water Heaters
Bathtub Shower Water Softner Wait. St. Shamp Sink
Whirlpool Floor Drain Local Waste Ice Chest FlrlWst Sink
Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin
Toilet Disposal Bidet Sculry Sink Wash Ftn
Res. Sink Dishwasher Beer Tap Hand Sink Urinal
Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec
Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker
Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain
Roof Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp
Misc.
Fixtures
Use/Nature SFR / Replace gas water heater.
of Work
No
123692
Create Date 03/06/2007
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Size
Conn. Type
Material
Type
#
Sanitary Sewer
Storm Sewer
Water Service
Valuation
$1,150.00
$0.00
$25.00 D Permit Voided I
Permit Fees
Plan Approval
Issued By
~<J
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 startingsuch activity.
Signature
Address 1076 COZY LN
AgenVOwner
OSHKOSH
WI 54901 - 0000 Telephone Number 231-6795
Parcelld #
1308501300
Date 03/06/2007
Date
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.
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City of Osilkosh
Inspection Services Division
POBox 1130
Oshkosh. W154903- 1130
Phone: (920) 236-5050
Fax: (920)c Z36-5084
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CifHKOfH
C~ -:..t;: \VATtR
Plumbing Permit Application
I hereby awIY for a permit to do and install the follo~pIur1Ibing on the premises hereinafter described, the work to conform to the
Wis.consin State Plumbing Code, in the perfo~ nI'IIhich all parties hereto agree to and are bOlmd by said statutes.
. Appli.cation(s) and fee(s) can be brought to City IhU,IRoom 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh \\'1 54903-1128. Commencing work \~1ho>1lt permit(s) will result in fees being doubled or $100.00 plus the
norma[ permit fee, which ever is greater.
OR
If vou are a contractor particioatinf! in the Pem1f.if Fee Account Svstem and have adeQuate funds. check here
if VOIl waml this orocessed throllflh VOllr aCCOUlMt' 0
-?
Cunttor
DMulti-FaaaiJy
Date 0.,) D to 10{
DRental
Number oCFutures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Surgeons Sink
Breaknn Sink
Dip Well
Hose Bibs
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 Sink Comm. Ice Maker
Serv Sink Site Drain
Int Grease Trap Roof Drain
Ext Grease Trap Standp Rec
R.P.z. Valve Eye Wash Stn
Shamp Sink Wtr Sewer Mtrs
F1r/Wst Sink Deduct Meters
Wtr Usage Mtrs
Bar Sink
Water Heater ~
~Gas [J Ele.ct = ~\TVnt
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink.
Sterilizer
Misc.
Fixtures
Q!!.
DElectric Installation Verification form attached
(If Reptacement)
Electric Contractor
Use / Nature oCWork
Size
Material
Type
#
Conn. Type
(Arg.-J
~l
f'\?- 1]
Sanitary Sewer
Storm Sewer
Water Service
11/05