The URL can be used to link to this page

Home My WebLink About0133835-Plumbing (water heater)OSHKOSH ON THE WATER Job Address 735 JACKSON ST 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 Shower _ _ Floor Drain Lndry Tray - Disposal _ -_ __ Dishwasher _ Sump Pump __ __ 1 Classrm Sink - -- -- _ Breakrm Sink Ejector/Grind Owner RICHARD UCAROL J MUELLER No 133835 Create Date 11/05/2008 Category 411 -Residential-Water Heaters Plan Water Softner Wait. St. Shamp Sink _ Coffee Maker Local Waste Ice Chest FIr/Vllst 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 $795.00 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 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 i o scnectule 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 pertormed within two business days from the time the project is ready. City of Oshkosh Inspection Services Division POBox1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920)236-5084 O HKOf H OfJ 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-I 128. 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 Svstem and have adequate funds, check here if you want this processed through amour account n ** Advisory -For applicable projects, an Electrical Installation Verification (EIV) 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 Issuance and will be returned for completion. ~p Job Address ~ ~ Value (Including labor and materials) ~ Date d UO Owner Contractor ^Single Family "Duplex ^Multi-Family ^Rental ^Comme ial ^ dustrial 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 jSGas _~ Elect _ PwrVnt Bidet Shower Beer Tap Floor Drain Classrm Sink Lndry Tray Surgeons Sink Lab Sink Breakrm Sink Plaster Sink Dip Well Sterilizer Hose Bibs Drink Fm 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 Misc. Fixtures EIectric Contractor (for projects not requiring an EIV Form) Use /Nature of Work lower un;-I- Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service o~/o~