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Home My WebLink About0126626-Plumbing (water heater) o OSHKOSH ON THE WATER Job Address 700 OTTER AVE CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner JAMES H/DIANA LEWANDOWSKI Contractor MERTEN PLUMBING Category 441 - Industrial-Water Heaters Bathtub Shower Water Softner Wait. St. Shamp Sink Whirlpool Floor Drain Local Waste Ice Chest FlrlWst Sink Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin Toilet Disposal Bidet Sculry Sink Wash Ftn Res. Sink Dishwasher Beer Tap Hand Sink Urinal Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain Roof Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp Misc. Fixtures Use/Nature 'i5iarie's Pet Grooming / Replace electric water heater. EIV provided by Witzke Electric. of Work No 126626 Create Date 09/06/2007 Plan Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Size Material Type # Conn. Type ~ Sanitary Sewer Storm Sewer Water Service Valuation $720.00 Plan Approval (}/J?1 /2 $0.00 Permit Fees $25.00 0 Permit Voided I __.____ _______~~______.J Parcel Id # 0202510000 Issued By Date 09/06/2007 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 Date Agent/Owner Address 1076 COZY LN OSHKOSH WI 54901 - 1404 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. Cit;. (If Oshk(~.Jh Inspection Services Division POBox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 .... .. ON THE WATER Plumbing Permit Application I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the Wisconsin State Plumbing Code, in the performance of which all 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 $100.00 plus the normal permit fee, which ever is greater. OR Ij~oU are a contractor participating in the Permit Fee Account System and have adequate funds, check here i__ou want this processed through vour account n ** Advisory .. For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical Contractor or HomeQwner (for installations allowed to be performed by the homeowner) llllJst1.7e~ubmitted with the permit application. Applications submitted without an EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. Job Address 700 O-ft:er-Ave-. Value (Including labor and materials) 7rlo. fJt1 Date o8lo!o7 Owner Dit1""e.~ td- QrooMjn~ Contractor -D1.ex.ten PI u~1 i~e-a.+i~ :tn~. DSingle Family DDuplex DMU1ti-Family DRental ~Commercial Dlndustria Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater r= .Gas )(Elect J PwrVnt Shower Floor Drain Lndry Tray Lab Sink Plaster Sink S teri I izer Misc. Fixtures Disposal Dishwasher Sump Pump Ejector/Grind . Water Softner Local Waste Clothes Wshr Bidet Beer Tap Classrm Sink Surgeons Sink Breakrm Sink Dip Well Hose Bibs Drink Ftn Catch Basin WaitSt. Wash Ftn Ice Chest Urinal Exam Sink Gar Drain Sculry Sink Soda Disp Hand Sink Coffee Maker F Prep Sink Comm. Ice Maker Serv Sink Site Drain Int Grease Trap Roof Drain Ext Grease Trap - Standp Rec RP.z. Valve Eye Wash Stn Shamp Sink Wtr Sewer Mtrs Flr/Wst Sink Deduct Meters Wtr Usage Mtrs Electric Contractor (for projects not requiring an EIV Form) Use / Nature of Work Sanitary Sewer Storm Sewer Water Service Size Material Type # Conn. Type 07/07 AUG.10.2007 10:41AM G WITZKE ELECTRIC .. NO.697 Z3?~,>- , ~ 0& City ofOa>>.ailh , DMsIGIl o..~ SIi:rv/ces 21S OIIunIIAve:n1lc PO Bq IUO ~ WI S4903.1ISo Of/'1CIl fto.4:lUO$O Fu P20-U6-5084 . - /~(~ ~- #') \~ ~ "c1f ~Jj "0V Electric Installation V erificatioll I(We)~e E,{ectriw Inc. (Electrical Contractor Name) 155 E.l'a~ AV€f)u~ Oshwsh \tJ:C 9140 ( (Address) (City) (State) (Zip Code) have been contraoted to perform electric installation work for {JI Me:S Pet 6rl:xJirJ in4 (Name ofpatty contracted to) \J at the following address: 1m OI::fv lrvenLl ~ (Address where work will be performed) The nature of'the work consists of: (Check One or Describe the Nature of Work) _ Reconnection or new circuit for replacement Heating Plant and/or Ale Condenser. * Reconnection or new cir~uit for replacement Electric Water Heater or power vented water heater. Reconnection of the Service Bntra:c.ce Cable, Meter Box, alterations to receptacles and lighting fixtures due to siding I soffit installation. Note: New Service Entrance Cables will require a separate permit. Recomection or new circuit for the replacement of other permanently wired appliances / 5xtures, New circuit for the addition of Ale to an individual dwelling unit (house or the individual systems in a duplex or condominium), including required service electrical outlets. Other ~ The value of this work is $ ?5,OD I hereby verify this work will be performed by an employee oftbis company and further verify the l'eConnection/ installation will be done in compliance with manufacturer and Electric code requirements. ~: ~ 0J~ (Sisoature of Company Officer) -r;'M. O\~ (Print Name of Oftic~) r-I {) -01 (Date) S/02