HomeMy WebLinkAbout0156155-Plumbing (water heater) _
� CITY OF OSHKOSH No 156155 �
;:
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1034 COZY LN Owner ARTHUR J LAUMER Create Date 06/13/2013
Contractor MERTEN PLUMBING 8�HEATING INC Category 411 -Residential-Water Heaters Plan
Inspector Jon Mueller
Bathtub _ 0 Clothes Wshr 0 Classrm Sink 0 Surgeons Sink 0 Roof Drain 0 Deduct Meters 0
Shower 0 Lndry Tray 0 Exam Sink 0 Sterilizer 0 Soda Disp 0 Wtr Sewer Mtrs 0
Whirlpooi 0 Sump Pump 0 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 0 San Sump/Pump 0 FldWst Sink 0 Bidet 0 Site Drain 0 Misc. p
Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. � Fixtures
Kit Sink 0 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest 0
Disposai 0 Gar Drain 0 Plaster Sink 0 Dip Wetl 0 Comm Ice Maker 0
Dishwasher 0 Local Waste 0 Sculry Sink 0 Drink Ftn 0 Int Grease Trap 0
Floor Drain 0 Bar Sink 0 Serv Sink 0 Wash Ftn 0 Ext Grease Trap 0
Hose Bibb 0 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 1
Use/Nature SFR/Replace water heater.
of Work
'*'check#11948"**
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1519628600
Valuation $795.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided'i
Issued By ?I�y� Date O6/13/2013
.�
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 1087 COZY LN 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 1 i 30 �
Oshkosh,WI54903-1130
Phone:(920)236-5050
Fax:(920)236-5084 O1HKn��--�
�
UN THf WATFR
Piumbing Permi# Applica#ion
j�'�Y�Y�'a permit to do and install the foUowing plumbing on the premises hereinaftea describe the work to conform to the
Wisconsin State Plumbing Code,in the performance of which all parties hereto agree to and ar���i3���s�•
• Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspec�ion Services,PO�Q�x�1 28,Oshkosh WI
54903-1128. Commencing work without permit(s)will result in fees being doubied or�100.00 plus th�..11�►�a�fee,which
rver is greater.
OR
DEPART+IF_'i OF
If vou are a contrac�or varlicinatinQ in the Permit Fee Account Svstem qnd havera�nop��fp���pq here
rf vou want this processed through vour account rl r.vsPEC�►'t:;:,:;t:<�.':��;sot�'�sto�v
*'�Advisorp-For applicable projeds,an Elec�ical InstaUation Veri6cation(EIV)form,si�aned bY thc Electnical
Can�actor ar Homeo�vner(for instaHations allowed to be perfoimed by the homeowner)mast be s�bmitte�
�vith t�e pesmit application. Applications sabmitted withont an EIV when sach is reqnaed,w�l not be
�rocessed for Pe�it Issaance and wiH be ret�ned for campletion.
Job Address �� Vaine�m�i�a�,g��a�c��s> Date .S o�b 3
Owner �ah he,`a (���1" Contractor p �
''�JSmgle Family QDnplea OMniti-Famiiy ORental OComm ' 1 ndnstrial
Number of Fizteres:
�b SumP Pump Plaster Sinfc Roof Drain
Shower San.SumplPump Scullery Sink Soda Disp
Whidpoo! Water Softener Sexvice Siiilc Coffee Mkr
Lavatory Standpipe Rec Shamp Sink Site Dra�n
Toilet Garage FD Surgeons Sink Waivs Sm
Kit Sink I.ocal Waste Stuilizer Ice Chesi
Disposal Ber Sink RPZ Valve
Comm[ce Maker
Dishwasher Brrak[m Sink Bidet Int Grease Trap
Floor Drein Classrm Sink Urinal Ea�t Grease Trap
Hose Bibb Exa►n Sink Beer Tap Eye Wash Str�
W�� � F P�ep Sidc Dipper Welt Deduct Meter
� '�'Gas C7 Elect C PwrVnt F��g� prink Fntn Wtr Sewer MV
Clothes Wshr ��S� W�Fa� Wtr Usage Mtr
Lndry Tray Iab Sink Catch Basin Misc Fi�ctures
Electric Contractor(for projects not reqairing an EIV Form)
Use/Natnre of Work
Size Material Type # Co��_T'ype
3anitary Sewer
Storm Sewer
Water Service
06/09