The URL can be used to link to this page

Home My WebLink About0133833-Plumbing (water heater)OSHKOSH ON THE WATER Job Address 520 DOVE ST Contractor MERTEN PLUMBING CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Owner PHYLLIS M ALECOS MARITAL TRUST No 133833 Create Date 11/05/2008 Category 411 -Residential-Water Heaters Plan _ Shower Water Softner Wait. St. Shamp Sink Coffee Maker Floor Drain Local Waste _ Ice Chest FIr/Vl-st Sink Int Grease Trap _ Lndry Tray Clothes Wshr ___ __ Exam Sink Catch Basin Ext Grease Trap _ Disposal Bidet Sculry Sink Wash Ftn RPZ Valve Dishwasher Beer Tap _ _ __ Hand Sink Urinal Eye Wash Statn Sump Pump Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs 1 Classrm Sink Sterilizer __ Surgeons Sink Ice Maker Deduct Meters _ Breakrm Sink Dip Well - F Prep Sink Gar Drain _ Wtr Usage Mtrs _ Ejector/Grind Drink Ftn Serv Sink Soda Disp ----- Valuation $1,350.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided Issued By ~ Date 11/05/2008 In the performance of this work, I agree to perform ail 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 i o scneauie mspect~ons 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. City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920} 236-5050 Fax: (920)236-5084 C~ HKO H_ 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 you are a contractor participating in the Permit Fee Account System and have adequate funds check here it you want this processed through your account I-1 ** Advisory -For applicable projects, an Electrical Installation Verification (EI'V) form, signed by the Electrical Contractor or Homeowner (far 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. apt Q Job Address Jr~ Dl~e ,~~'"~ Value (Including labor and materials) ,s . ~D Date B VtJ Owner ~ ~ Contractor T Single Family ^Duplex ^Multi-Family ^Rental ^Comm cial ndustrial Number of Fixtures: Bathtub Disposal Drink Ftn Catch Basin Whirlpool Dishwasher Wait. St. Wash Ftn Lavatory Sump Pump Ice Chest Urinal Toilet EjectorlGrind Exam Sink Gar Drain Res. Sink Water Softner Sculry Sink Soda Disp Bar Sink Local Waste Hand Sink Coffee Maker Water Heater = Clothes Wshr F Prep Sink Comm. Ice Maker `_ Gas .~ Elect ~PwrVnt Bidet Serv Sink Site Drain Shower Beer Tap Int Grease Trap Roof Drain Floor Drain Ctassrm Sink Ext Grease Trap Standp Rec Lndry Tray Surgeons Sink R.P.Z. Valve Eye Wash Stn Lab Sink Breakrm Sink Shamp Sink Wtr Sewer Mtrs Plaster Sink Dip Well Flr/Wst Sink Deduct Meters Sterilizer Hose Bibs Wtr Usage Mtrs Misc. Fixtures Electric Contractor (for projects not requiring an EIV Form) Use /Nature of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service 07/07