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Home My WebLink About0132769-Plumbing (water heater)OSHKOSH ON THE WATER Job Address 2810 WINDHURST DR CITY OF OSHKOSH PLUMBING PERMIT.-APPLICATION AND RECORD Contractor MERTEN PLUMBING Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink • • Water Heater Site Drain -Roof Drain Misc. Fixtures Use/Nature of Work No 132769 Create Date 09/09/2008 Plan Shower Water Softner Wait. St. Shamp Sink _ Floor Drain Local Waste Ice Chest Flr/Wst Sink Lndry Tray Clothes Wshr Exam Sink _ Catch Basin _ Disposal Bidet Sculry Sink Wash Ftn Dishwasher Beer Tap Hand Sink _ Urinal Surrip Pump Lab Sink Plaster Sink _ Standp Rec 1 Classrm Sink Sterilizer Surgeons Sink ace Maker Breakrm Sink Dip Well F Prep Sink. Gar Drain ,Ejector/Grind Drink Ftn Serv Sink Soda Disp Coffee Maker _ Int Grease Trap Ext Grease Trap _ RPZ Valve Eye Wash Statn Wtr Sewer Mtrs :'.:Deduct Meters Wtr Usage Mtrs Valuation $720.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided Issued By Z/~ 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 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~apes~uvns pease cau ine inspection Kequest Ilne 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. MICHAEUCARLA A OST,ERTAG Category 411 -Residential-Water Heaters City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, W[ 54903-1130 Phone: {920) 236-SO50 Fax: {920) 236-5084 C~.IHI~~ Plumbing Permit Application [ 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 Cade, in the performance ofwhich all parties hereto agree to and are bound by said statutes. • Application(s) and fee(s) can be brought to City Elall, Room 205 or mailed to Inspection Services, PO Box 1 128, Oshkosh ~VI 54903-1 128. Commencing work without permit(s) will result in fees being doubled or 5100.00 plus the ttormal permit fee, Which ever is greater. OR If you are a contractor participating in the Permit Fee Account System and have adequate funds check here 1„~.yote want this t~r•ocessed through your account ** Advisory -Far applicable projects, an Electrical Installation Verification (EIV} form, signed. by the Electrical Contractor or IIoineowner (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 /Issuance and will be returned for completion. Job Address•_~ V_ r ~~~Valll~ (}ncluding labor and materials) bo ~dt(. C)~~~ner ~1 ~2 ~S~PX! Q Q Contractor •, Single Family ^Duplex ^Multi-Family ^Rental ^Com reial industrial Number of Fixtures Bathtub __ Disposal ' ____ __ Drink Ftn __ _ Catch Basin Wftirlpool Dishwasher Wait. St. Wash 1=tn Lavatory Sump Pump ice Chest _A _ urinal i'oilet __..~_ EjectorlGrind __ Exam Sink ~_ _ Gar Drain Res. Sink ~~_ Water Softner ,_~ Sculry Sink ~_ ._ Soda Disp Bar Sink Locai Waste Hand Sink _ Cotfiee Maker Water Heater ~ Clothes GVshr F Prep Sink Comm. Ice Maker yCGas .:: Elect PwrVnt Bidet __ _ Sere Sink Site Drain S}tower ~- Beer Tap inE Grease Trap 1200}' Drain Floor Drain _____ Classrm Sink _u. ~ Ext Grcase'rrap Standp Rec L[tdry Tray Surgeons Sink R.P.Z. Valve Eye Rash Stn Lab Sink }3reakrm Sink Shamp Sink Wtr Sewer iVitrs Plaster Sink _ Dip Wcll Fir,'LVst Sink ~_ _ Deduct Meters Sterilizer Hose Bibs _ Wir Usage A9trs Misc. Fixtures Electric Contractor (for projects not requiring an EIV Form) L'+se /Nature of V4'ork Size Material Type # Conn. Type Sanitary Sewer Storm Sewer { Water Service j l V I ~~i7