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HomeMy WebLinkAbout0125718-Plumbing (water heater) o OSHKOSH ON THE WATER Job Address 315 FULTON AVE CITY OF OSHKOSH No 125718 PLUMBING PERMIT - APPLICATION AND RECORD Owner LAVERNE PAULUS Create Date 07/10/2007 Plan Category 411 - Residential-Water Heaters Contractor MERTEN PLUMBING Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures 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 Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs SFR /INSTALL GAS WATER HEATER "check #9898 Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcelld # 1000270000 Use/Nature of Work Plan Approval $0.00 $25.00 D Permit Voided I Valuation $1,253.00 Issued By ~ ......., Permit Fees Date 07/10/2007 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 yvhich 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 Address 1076 COZY LN Agent/Owner OSHKOSH WI 54901 - 1404 Telephone Number 231-6795 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. City of Oshkosh Inspection Services Division POBox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 (-, ~71~'-'V'"'7"':::~.{''''''I' ) f ----I; ( 1.---1 '----':J .. ,,~,/ I 0>-', fj--n: ::.{ATFR Plumbing Permit Application I hereby apply for a pennit to do and install the following plumbing on the premises hereinafter described, the work to confonn to the Wisconsin State Plumbing Code, in the perfonnance of which aU parties hereto agree to and are bound by said statutes. · Application(s) and tee(s) 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 ever is greater. OR Ifvoll are a contractor participatinf? in the Permit Fee Account System and have adec/Uate funds, check here ifvou want this processed through vour accoUI1! n Job Address .3/ Value (Including labor and materials) I ~ 53. ()() Date~ Owner uverne.. Po..",J",s Contractor ~~ ~ ~./. ~Single Family DDuplex DMulti-Family DRental DCommercial Dlndustrial Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink \Vater Healer r=: '\rGas [j Elect 0 PwrVnl Shovlier Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures 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 Drink Fin Catch Basin Wait. St. Wash Ftn lee 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 Ree R-P.Z. Valve Eye Wash Stn Shamp Sink Wtr Sewer Mtrs FlrlWst Sink Deduct Meters Wtr Usage Mtrs Electric Contractor OR DElectric Installation Verification form attached (If Replacement) Use / Nature of Work Size Material Type # Conn. Type Sanitary Sewer Stonn Sewer Water Service 11/05