HomeMy WebLinkAbout0126083-Plumbing (water heater)
G
OSHKOSH
ON THE WATER
Job Address 1815 BERNHEIM ST
CITY OF OSHKOSH No 126083
PLUMBING PERMIT - APPLICATION AND RECORD
Owner WilLIAM l MACKENZIE/J ANDERSON Create Date 08/03/2007
Plan
Contractor MERTEN PLUMBING
Bathtub
Whirlpool
lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Category 411 - Residential-Water Heaters
Shower Water Softner Wait. St.
Floor Drain local Waste Ice Chest
Lndry Tray Clothes Wshr Exam Sink
Disposal Bidet Sculry Sink
Dishwasher Beer Tap Hand Sink
Sump Pump Lab Sink Plaster Sink
Classrm Sink Sterilizer Surgeons Sink
Breakrm Sink Dip Well F Prep Sink
Ejector/Grind Drink Ftn Serv Sink
Use/Nature SFR /INSTAll GAS WATER HEATER **check 9924
of Work
i
I
I
L
Shamp Sink
FlrlWst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Coffee Maker
lnt Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Size
Material
Sanitary Sewer
Storm Sewer
Water Service
Type
#
Conn. Type
Valuation $1,250.00 Plan Approval _~.QQ Permit Fees
~~,
Issued By ~6
Parcel Id #
1332180000
$25.00 D Permit Voided]
Date 08/03/2007
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 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
Address 1076 COZY IN
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 (Le. 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
07f~KOlFl
ON THF \:vF,TFR
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 ail parties hereto agree to and are bound by said statutes.
. Application(s) and fee(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
Urou are a contractor participating in the Permit Fee Account Srstem and have adu/uate funds. check here
drou want this processed throuf/h vour account n
Job Address Value (Including labor and materials) / ::? SOl 00 Date 7 it ~ 107
Owner _~.et ~~) Contractor ~ P ~ f /~k-.
l)lfSingle Family DDuplex DMulti-Family DRental DCommercial DlndustriaI
Number of Fixtures:
Bathtub
WhirlpQol
Lavatory
Toilet
Res. Sink
Bili 8iiiK
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Sonner
Local Wasie
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Surgeons Sink
Breakrm Sink
Dip Well
Hose Bibs
Drink Ftn Catch Basin
Wait.St. Wash Fro
Ice 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 Rec
RP.Z. Valve Eye Wash Stn
Shamp Sink Wtr Sewer Mtrs
FlrlWst Sink Deduct Meters
Wtr Usage Mtrs
Water Heater =r=
~Gasl:J Elect tJ PwrVnt
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Electric Contractor
OR
DElectric Installation Verification form attached
{If Replac.ement)
Use / Nature of Work
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Stonn Sewer
Water Service
11/05