HomeMy WebLinkAbout2008-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 448 SUNNYBROOK DR
Owner SHARON J NISLER
No 134259
Create Date 12/03/2008
Contractor MERTEN PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Category 411 -Residential-Water Heaters Plan
_ Shower Water Softner Wait. St. Shamp Sink
_ Floor Drain Local Waste Ice Chest FIrIWst 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
Coffee Maker ___
Int Grease Trap _. __
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Valuation $795.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
Issued By Date 12/03/2008
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
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Agent/Owner
OSHKOSH
WI 54901 - 1404 Telephone Number 231-6795
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.
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Plumbing Permit Application
OIHKOIH
ON THE WATER
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 participatingin the Permit Fee Account System and have adequate funds, check here
if you want this processed through,vour 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 E1V when such is required, will not be
processed for Permit Issuance and will be returned for completion.
Job Address 00 1~• ValueInclluding labor and materials} 7 ~5. ~~ Date1
t9~ S~iq n 1U rs /er
Owner 0 contractor
Single 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
Water Heater ~_ Clothes Wshr F Prep Sink
~Gas'~~ Elect = PwrVnt
Bidet Serv Sink
Shower Beer Tap Int Grease Trap
Floor Drain Classrm Sink Ext Grease Trap
Lndry Tray Surgeons Sink R.P.Z. Valve
Lab Sink Breakrm Sink Shamp 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
Size Material Type # Conn. Type
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 Meters
Wtr Usage Mtrs
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