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Home My WebLink About0125173-Plumbing (water heater) G OSHKOSH ON THE WATER Job Address 1625 WHITE SWAN DR CITY OF OSHKOSH PLUMBING PERMIT - APPL~CATION AND RECO~D Owner PAUL E RJDEMANN III Contractor MERTEN PLUMBING Category 411 - Re idential-Water Heaters No 125173 Create Date 06/05/2007 Plan Bathtub Shower Water Softner Wait. St.~ Shamp Sink Coffee Maker Whirlpool Floor Drain Local Waste Ice Ches Flr/Wst Sink , Int Grease Trap Lavatory Lndry Tray Clothes Wshr E>om S;fk Catch Basin ~ Ext Grease Trap Toilet Disposal Bidet Sculry S nk Wash Ftn RPZ Valve Res. Sink Dishwasher Beer Tap Hand Sink Urinal Eye Wash Statn Bar Sink Sump Pump Lab Sink Plaster Jink Standp Rec Wtr Sewer Mtrs surgeonls Sink - Water Heater Classrm Sink Sterilizer Ice Maker Deduct Meters Site Drain Breakrm Sink Dip Well Gar Drain ---r- Wtr Usage Mtrs Roof Drain Ejector/Grind Drink Ftn F Prep Slink Soda Disp ---r- Serv Sink Misc. Fixtures Use/Nature SFR / REPLACE GAS WATER HEATER **check #9871 of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Valuation Plan Approval $0.00 Permit Fee I $25.00 D Permit Voided I Issued By I n the performance of this work, I agree to perform all work pursuant to rules gOvArning the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of 1hiCh it is not a party, if you perform the work described in this permit application within an easement, the City strongly urges t e permit applicant to contact the easement holder(s) and to secure any necessary approvals before starting such ctivity. Signature Date Address 1076 COZY LN Agent/Owner OSHKOSH WI 54901 - 0000 Telephone Number 231-6795 Parcelld # 1523000000 Date 06/05/2007 To schedule inspections please call the Inspection Request line a~236-5128 noting the Address, Permit Number, Type of Inspection (Le. Footing, Service, Final, etc.), Access into Building f Secure (,hOW do we gain en,' try), your Name and Phone Number. Unless specified otherwise, we will assume the project i 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 Inspection Services Division POBox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 r'\ ;IIV!'"'-rl-j \ Jl r--1l\.i \ fH '-...././. I. ,\,__.1) , ON THE \VA1FR Plumbing Penni Application I hereby apply for a permit to do and install the fonowing plumbing 0 r the premises hereinafter descJbed, the work to conform to the Wisconsin State Plumbing Code, in the performance of which tn parties hereto agree to and are bound by said statutes. . AppJication( s) and fue( s) can be brougbt to City Hall, RooJ 205 or mailed to Inspection !services, PO Box 112&, Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit ~e;.' which ever is greater. I . 1 Vall are a contractor artici atin in the Permit Fee Account Svstel11 and have ader. /late unds. check here if V 011 want this processed through vour account n Job Address 1 b ~ s VJh:~ DJ\ . Value (Indudin Owner _~ 6.l~ ~~ Contractor l'XfSingleFamily DDuplex DMulti-Family DRental go Date OS/ ~~:; Number of 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 xam Sink Catch Basin Wash Ftn Urinal Gar Drain Soda Disp Coffee Maker Comm. Ice Maker Site Drain Roof Drain Standp Rec Eye Wash Stn WIT Sewer Mtrs Deduct Meters Wtr Usage Mtrs Bathtub Whirlpool Lavatory Toilet Res. Sink \VaterHeater r ~Crds Elect C PwrVnt Shower Floor Drain Lndr)' Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures nt Grease Trap xt Grease Trap .P.Z. Valve hamp Sink .1rlWst Sink Electric Contractor QJ! DElectric Installation Verification form attacbed (If Replacement) Use /Nature of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service 11/05