Loading...
HomeMy WebLinkAbout0122389-Plumbing (water heater) e 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. '" (~\ ~ OfHKOfH . 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 /)..