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Home My WebLink About2008-Plumbing (water heater)n OSHKOSH ON THE WATER Job Address 125 ROSALIA ST Contractor MERTEN PLUMBING Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION-AND RECORD Owner LOREN T HARRISON/TANIA M BUTLER Shower _ Floor Drain Lndry Tray Disposal Dishwasher Sump Pump 1 , Classrm Sink Breakrm Sink Ejector/Grind Category 411 -Residential-Water Heaters Water Softner Local Waste Clothes Wshr Bidet Beer Tap LabSink Sterilizer. Dip Well Drink Ftn No 132768 Create Date 09/09/2008 Plan Wait. St. Ice Chest Exam Sink Sculry Sink Hand Sink _ Plaster Sink Surgeons Sink F Prep Sink Serv Sink Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs . Deduct Meters Wtr Usage Mtrs Shamp Sink Flr/Vllst Sink Catch Basin Wash Ftn Urinal Standp Rec Ice Maker Gar Drain Soda Disp Valuation $720.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided Issued By ~~j~ Date 09/09/2008 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 appligtion 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 ~ ~ scnevu~e inspections please can the Inspectlon 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. City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 HKC~ H 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 If vau are a contractor particibatin~in t_h_e_Permit Fee Account Svstem and have adequate funds. check here if you want thisprocessed through your account ** Advisory -For applicable projects, an Electrical Installation Verification (EIS form, signed by the Electrical Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted with the permit application. Applications submitted without an EIV when such is required, will not be processed for Permit I/s~suance and will be returned for completion. ,, p h Job Address ~ {~ S ~iL~ ~ QA'd (,~„ ,~51~ Value (Including tabor and materials) /~~Dat U7 V Owner L~ T Tdh i o~ rfArfl S01'1Contractor ~ l~tr'LGW _. Single Family ^Duplex ^Multi-Family ORental ^Com~ercial Industrial Number of Fixtures: Bathtub Disposal Whirlpool Dishwasher Lavatory Sump Pump Toilet Ejector/Grind Res. Sink Water Softner Bar Sink Local Waste Water Heater ~ Clothes Wshr ,Gas ~ Elect'j(PwrVnt 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 Drink Ftn Catch Basin Wait. St. 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 R.P.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 Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service o~~o~