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Home My WebLink About0132771-Plumbing (lavatory)OSHKOSH ON THE WATER Job Address 1541 HAZEL ST Contractor MERTEN PLUMBING CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Bathtub Shower Whirlpool Floor Drain Lavatory 1 Lndry Tray Toilet Disposal Res. Sink Dishwasher .Bar Sink Sump-Pump 'Water Heater ~ Classrm Sink •Site Drain Breakrm Sink Roof Drain Ejector/Grind Misc. Fixtures Use/Nature of Work No 132771 Create Date 09!09/2008 Plan Water Softner Wait. St. Shamp Sink Coffee Maker Local Waste Ice Chest Flr/Wst 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 Valuation $145.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided Issued By Date 09/09/2008 In the pertormance 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 Address 1087 COZY LN Agent/Owner OSHKOSH WI 54901 - 1404 Telephone Number 231-6795 a..,~a~~~~ n~apacuvns pease can me mspecnon 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 pertormed within two business days from the time the project is ready. Owner PAUL E/KRISTIE L REDEMANN I11 Category 410 -Residential-Interior City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, 4V1 54903-1130 Phone: (920) 23b-5050 Fax: (420) 236-5084 Plumbing Permit Application C~1HK~f N ov T~~ `~/~.r_r~ I hereby apply for a permit to do and install the fallowing plumbing on the premises hereinafter described, the work to conform Ta the 1~~'isconsin State Plumbing Code, in the performance ^f which all parries 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 bir'I 51903-1128. Commencing work without permit(s) will result in fees being doubted or ~f 00.00 plus the normal permit fee, tivhich ever is greater. OR If yoar ar•e a eontractor_participatin~ in the Permit Fee Accotrrtt S~! rem ar~td have adeguate,ftrj2ds, chick here if you leant thi~~rocessed t{zrou~h your accazrnt (~ ** Advisory -For applicable projects, an Electrical Installation Verification (EN) form, signed by die Electrical Contractor or ~Iomeowner (for installations allowed to be performed by the homeowner) must be submitted with the permit application. Applications submitted without an EN when such is required, will not be processed for Permit Issuance and will be returned for completion. V' lue Inchrdin labor and materials) ate Job Address~~_~~~~.~' ( g ~ 0O Q~~•ner ~ ~~Grtractor ' ~ingle Family ^Duplex ^Nlulti-Family ^Rental ^Comm rciat Industrial Nurrtber of Futures Bathtub __ Disposal Drink Ftn _~~ _ Catch Basin 4Vhirtpool Dishwasher _ Wait. St. __ leash Fin Lavator}- ___~_._ Sump Pump Ice Chest Urinal "loiter _`_ EjectorlC,rind Exam Sink Gar Drain Res. Sink J Water Softner v - Sculry Sink Soda Disp Bar Sink ' Local Waste Hand Sink _ Cotfee Maker Water Heater ___ Clothes \\~shr F Prep Sink Comm. Ice Ntaker !.: Gas _= Elect _. PwrVnt Bidet _ Serv Sink Site Drain Sltu~tier _`._ Beer Tap __ int Grease "trap Raof'Drain Floor Drain __~ Classrm Sink Ext Grease Trap _ Standp Rcc Lndry Tray __- Surgeons Sink R.P.7.. valve Eye \Vash Stn Lab Sink _ Breakrm Sink Shamp Sink Wtr SeGVer Mirs Plaster Sink _ Dip Weil FfrlWst Sink ~___ __ Deduct Meters Sterilizer _ t{ose Bibs ll~tr Usage t~ltrs Miser Fixtures EIectric Contractor (for projects not requiring an EN Form) L'se / V'ature of Wark Size Material Type # Conn. Type__-~~ Sanitary Sewer i Storm Sewer j Rater Service o-ric~