HomeMy WebLinkAbout0146817-Plumbing (water heater) (D CITY OF OSHKOSH No 146817
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1115 MERRILL ST Owner TERRY HENDRICKSON Create Date 07/13/2011
Contractor MOREMAN PLBG & HTG SERVICE INC Category 411 - Residential -Water Heaters Plan
Inspector
Bathtub Clothes Wshr Classrm Sink Surgeons Sink Roof Drain Deduct Meters
Shower Lndry Tray Exam Sink Sterilizer Soda Disp Wtr Sewer Mtrs
Whirlpool Sump Pump F Prep Sink RPZ Valve Coffee Maker Wtr Usage Mtrs
Lavatory San Sump /Pump Fir/Wst Sink Bidet Site Drain Misc.
Toilet Water Fixtures
ater Softner Hand Sink Urinal
Wait.
St.
Kit Sink Standp Rec Lab Sink Beer Tap Ice Chest
Disposal Gar Drain Plaster Sink Dip Well Comm Ice Maker
Dishwasher Local Waste Sculry Sink Drink Ftn Int Grease Trap
Floor Drain Bar Sink Sery Sink Wash Ftn
Ext Grease Trap
Hose Bibb Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn
Water Heater 1
Use /Nature SFR / Replace gas power vent water heater. * *debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1008220000
Valuation $1,100.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By ar171/ Date 07/13/2011
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 y ry pp be o e starting such activity.
Signature Date
Agent/Owner
Address PO BOX 1325 OSHKOSH WI 54903 - 1325 Telephone Number (920) 231 -9191
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 N ame and Phone
9 (
9 ,
rY) Y
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 t performed within two business days from the time the project is ready.