HomeMy WebLinkAbout0124106-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 920 MASON ST
Contractor MERTEN PLUMBING
CITY OF OSHKOSH
No
124106
PLUMBING PERMIT - APPLICATION AND RECORD
Owner GERALD/CHARLENE VOELKER
, reate Date
Jlan
04/05/2007
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 Coffee Maker -
- - - - -
Floor Drain Local Waste Ice Chest Flr/Wst Sink Int Grease Trap -
- - - - -
Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
- - - - - -
Disposal Bidet Sculry Sink Wash Ftn RPZ Valve
- - - -
Dishwasher Beer Tap Hand Sink Urinal Eye Wash Statn
- - - - - -
Sump Pump Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
- - - - - -
1 Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters
- - - - - -
Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
- - - - - -
Ejector/Grind Drink Ftn Serv Sink Soda Disp
- - - - -
-
SFR / Replace gas water heater.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1307730000
Category 411 Residential Water Heaters
Valuation $720.00 Plan Approval $0.00 Permit Fees $25.00 D Permit Voidedj
Issued By 7)J~- A ~ Date 04/05/2007
In the performance.of this w.ork, I agree to perf.orm all w.ork pursuant to rules g.overning the described constructi.on. J
While the City .of Oshk.osh has n.o auth.ority t.o en farce easement restricti.ons .of which it is n.ot a party, if y.ou perf.orm the .ark
described in this permit applicati.on within an easement, the City str.ongly urges the permit applicant t.o contact the
easement h.older(s) and t.o secure any necessary approvals bef.ore starting such activity.
Signature Date
Agent/Owner
Address 1076 COZY LN OSHKOSH WI 54901 - 0000 Telephone Number 231-6795
To sche,dule inspections please call the Inspection Request line at 236-5128 noting the Address, Pednit Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), ~our Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is rf.ceived. Work may
continue if the inspection is not performed within two business days from the time the project is reatly.
City ofOsflkosh
Inspedim Senices Division
POBox JlI3&
Osbk0511" WI 54903-1130
Phone; (9llQ) 236-5050
Fax: ('92D) 236-5084
(~
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OJ1HKOfH
eN -H= "/ATFR
Plumbing Permit Application l
I hereb, JHlly for a permit to do and install the following plmlbing on the premises hereinafter descnbed, the b' ork to conform to the
WLSCOIlSin State Plumbing Code, in the performance -of which all parties hereto agree to and are bound y said statutes.
. App.ticati<m(s) and fee(s) can be brought to City HaU,Room 205 or mailed to Inspection servicJ PO Box 1128,
OsWrosh \\'1 54903-1128. Commencing work withoutpermit(s) will result in fees being dOUbleII or $100.00 plus the
nol'Jll'BJ poermit fee, which ever is greater.
[(voir tHroe a con~~ctor oarticioatin'Z in the Permit Fee Account System and have adeQuat · funds. check here
i(VOll 'i'(E"! this processed throu'Zh vour account ..D ;
I Date 03~:J3/Q7
I+J~~.
IDlndust/{al
Vallle (mcluding labor and materials) 7).{), DO
Jfu~, p~
DRental . DCommercial
JobAM__ ;::~
Owu.el' _ V Contractor
~SiI:1e Family DDuplex DMulti-Family
N uaher ()f Fixtures:
Bar Sink
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Surgeons Sink
Breakrm Sink
Dip Well
Hose Bibs
DrinkF10
Wait St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
F Prep Sink
ServSink
1m Grease Trap
Ext Grease Trap
RPZ. Valve
Shamp Sink
F1rlWst Sink
CatCh Basin
WI I hFtn
U'
~Drain
. sJ~ Disp
cokee Maker
corhm. Ice Maker
SiJ Drain .
RJfDrain
I
SjdP Rec
Eve Wash S10
- I
:J Sewer M. trs
:1uct Meters
WtrUsage Mtrs
Bathtub
WhirlJDuK
LavatoIy
Toilet
Res. Sink
Water Realer _\
1!1 Gas c: Reet = PwrVnt
Sho~
Floor DniJI
Lndry TRy
Lab Sink
PIllStel' SOl
Sterili2er
Misc_
Fixnms
Electric Contractor
OR
DElectric InstaUation Verification form attached
(If_'I...........<
Use {Nature of Work
Size
Material
Type
#
Conn. Type
tl {Off
)1
I
Sanitary Sewer
Stonn. Sewer
Water Selva
11/05