HomeMy WebLinkAbout0122389-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 1803 HICKORY LN
CITY OF OSHKOSH
No
122389
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner MICHAEL V/CYNTHIA P WIEDENHAFT Create Date 11/0212006
Category 411 - Residential-Water Heaters Plan
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest FlrlWst Sink Int Grease Trap
Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Bidet Sculry Sink Wash Ftn RPZ Valve
Beer Tap Hand Sink Urinal Eye Wash Statn
Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Sterilizer Surgeons Sink Ice Maker Deduct Meters
Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Drink Ftn Serv Sink Soda Disp
Contractor MERTEN PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
SFRlReplace gas water heater.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1526030000
$1,150.00 Plan Approval
~
$0.00 Permit Fees
$25.00 D Permit Voided!
___.__.__J
Date 11/03/2006
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 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.
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. City of OsbJrosh
Inspection Senia:s Division
POBox 1130
r Oshkosh, WI 54OOl,l130
Phone: (920) 236-505e
Fax: (920) 2.16-5014
.),,- -"';: \',ATFR
Plumbing Permit Application
I hereby apply foc a p;:rmit to do and install the following plumbing on the premises hereinafter described. the work to. conform to the
Wi'iCOllsiu State Plumbing Code, in the perfur1nanoe of which all parties hereto agree to and are bound by said statutes.
. Application(':-sl and fee( s) can be brought to City Hali, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh "lI 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
If vou are fa contractor oarticioatimz in the PerM/it Fee Account Svstem and have adequate funds. check here
if vou want this, f)rocessed throu~h vour aCCOU!fIl n
::~:ras~ Ou7 L~~ Coanctor
1){ISingle F:amily DDuplex DMulti-Family
Valae (Including labor and materials) 1,J.t;o , 00 Date 10 /:.J..S It{) ,
{JlJ;3i~ (!Pu"'rJ f ~ Jw;.
DRental DCommercial Dlndustrial
Number of Fixtures:
r Bathtub Disposal
Whirlpool Dishwasher
LavatOIY Sump Pump
Toilet Ejector/Grind
Res, Sink Water Softner
Bar Sink I Local waste
Water Heater Clothes Wshr
~Gas 0 Elect: p.,..yV'llt Bidet
Shower Beer Tap
Floor Drain Classrm Sink
Lndry Tray Surgeons Sink
Lab Sink Breakrm Sink
Plaster Sink Dip Well
Sterilizer Hose Bibs
Misc.
Fixtures
Electric Contractor
DrinkFtn
Wait St
Ice Chest
Exam Sink
ScuiIy Sink
Hand Sink
F Prep Sink
Serv Sink
Int Grease Trap
Ext Grease Trap
R.P,Z. Valve
Shamp Sink
FIr/Wst Sink
Catch Basin
Wash Ftn
Urinal
Gar Drain.
Soda Disp
Coffee Maker
Comm. Ice Maker
Site Drain
Roof Drain
Standp Rec
Eye Wash Stn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
OR DElectric Installation Verification form attached
(If Replacement)
Use / Nature of Work
Size
Material
Type
#
Conn. Type
\ \) ~
\ \\ ~
,~i\~ t.:
Sanitary Sewec
NOVO 2 2006
Storm Sewer
r'i
Water Service
/)..