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Home My WebLink About0134224-Plumbing (water heater)OSHKOSH ON THE WATER Job Address 2425 SANDSTONE CT Contractor E C MERRILL INC Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Valuation CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Owner MARK USUSAN E HARRIS Category 411 -Residential-Water Heaters Shower Water Softner Wait. St. Shamp Sink Floor Drain Local Waste Ice Chest FIrM/st Sink Lndry Tray Clothes Wshr Exam Sink Catch Basin Disposal Bidet Sculry Sink Wash Ftn Dishwasher Beer Tap Hand Sink Urinal Sump Pump Lab Sink Plaster Sink Standp Rec 1 Classrm Sink Sterilizer Surgeons Sink Ice Maker Breakrm Sink Dip Well F Prep Sink Gar Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp No 134224 Create Date 12/01/2008 Plan Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Issued By ~1 Y lc~-" Date 12/01/2008 In the performance of this work, 1 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 appliption 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 AgenUOwner Address 1018 W SOUTH PARK AVE OSHKOSH Date WI 54902 - 6192 Telephone Number 235-3600 To schedule 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 performed within two business days from the time the project is ready. $750.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided Inspection Services llivision P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920)236-5050 Fax: (920) 236-5084 Plumbing Permit Application v ~ED [hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the'~6oYklCo~o~~n to the Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are boun~jpp,~~ifl~te$.F COMMUNITY DEVELOPMENT • Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Servics~~~~b3d.~N~Ptp~1(/~SION 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 ** Advisory -For applicable projects, an Electrical Installation Verification (Elm 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. Gf1 Job Address ~ ~i°oZ~'cS~.. ~, ~~s' ~ ~~ Value (Including labor and materials) ~~ Date ~/ ~~~'~C~ Owner /" `f~~~ rris Contractor ~~ C:r~~GG ~ngle Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial Number of Fixtures: Bathtub Disposal Drink Ftn Catch Basin Whirlpool Dishwasher Wait. St. Wash Ftn Lavatory Sump Pump Ice Chest Urinal Toilet Ejector/Grind Exam Sink Gar Drain Res. Sink Watcr Sooner Sculry Sink Soda Disp Bar Sink Local Waste Hand Sink Coffee Maker Wat Heater ~ Clothes Wshr F Prep Sink Comm. Ice Maker as ^ Elect !~ PwrVnt Bidet Serv Sink Site Drain hoover Beer Tap Int Grease Trap Roof Drain Floor Drain Classrm 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 /C Size Sanitary Sewer Storm Sewer Water Service Material Type # Conn. Type o~~o~