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Home My WebLink About0134223-Plumbing (water heater)OSHKOSH ON THE WATER Job Address 1245 GREENFIELD TRL CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD 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 Owner VALERIE A KLIKA No 134223 Create Date 12/01/2008 Category 411 -Residential-Water Heaters 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 Sump Pump Lab Sink Plaster Sink Standp Rec 1 Classrm Sink Sterilizer Surgeons Sink Ice Maker _ Breaknn 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 Issued By ~r ~cT Date 12/01/2008 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 Agent/Owner Address 1018 W SOUTH PARK AVE OSHKOSH 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 POBox1130 RE~EI~'E Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 DECO 1 2008 O.fHK H ON THE WATER Plumbing Perrr>lit~~~S~OPMENT ( hereby apply for a permit to do and install the following plumbing on'thePpreml~esTi~r~Yt~~~r~~~~tSi~~~, 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 ** Advisory -For applicable projects, an Electrical Installation Verification (E1V) 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. Job Address~~~~'~,^ j" ti~~ Value (Including labor and materials} ~~ c~ Date "~ ~'G~B Owner ~~ Contractor ~~C-G ~ V~~~i~~{~~ ~r~ ll~i c. ~ngle Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial Number of Fixtures: Bathtub Disposal Drink Ftn Whirlpool Dishwasher Wait. St. Lavatory Sump Pump Ice Chest Toilet Ejector/Grind Exam Sink Res. Sink Water Softner Sculry Sink Bar Sink Local Waste Hand Sink at r Heater ~/ Clothes Wshr F Prep Sink as ^ Elect J PwrVnt Bidet Serv Sink Shower Beer Tap lnt Grease Trap Floor Drain Classrm Sink Ext Grease Trap Lndry Tray Surgeons Sink R.P.Z. Valve Lab Sink Breakrm Sink 5hamp Sink Plaster Sink Dip Well Flr/Wst Sink Sterilizer Hose Bibs Misc. Fixtures Electric Contractor (for projects not requiring a n EIV Form) Use /Nature of Work 1C Size Sanitary Sewer Storm Sewer Water Service Catch Basin Wash Ftn Urinal Gar Drain Soda Disp Coffee Maker Comm. Ice Maker Site Drain Roof Drain Standp Rec Eye Wash Stn Wtr Sewer Mtrs Deduct Miters Wtr Usage Mtrs Material Type # Conn. Type o~io~