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Home My WebLink About0157067-Plumbing (water heater) � CITY OF OSHKOSH ►vo �5�os� OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 916 HAWK ST Owner GARY L LEMIESZ Create Date 08/06/2013 Contractor MERTEN PLUMBING&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 Whirlpool 0 Sump Pump 0 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0 Lavatory 0 San Sump/Pump _ 0 FIAWst Sink _ 0 Bidet 0 Site Drain 0 Misc. p Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. 0 Fixtures Kit Sink 0 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest p Disposai _ 0 Gar Drain 0 Plaster Sink 0 Dip Well 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 FR/REPLACE GAS WATER HEATER *'check#11997 -- -- --—� of Work I II ; � Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1603260000 ' Valuation $795.00 Plan Approval $0.00 Permit Fees _ $30.00 ❑ Permit Voided j Issued By �,� � Date 08/06/2013 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 AgenVOwner 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 pertormed within two business days from the time the project is ready. City of Osfikosh lnspection Services Division � P O Box 1130 � Oshkosh,WI54903-1130 Phone:(920)236-SQ50 Fax:(920)236-5084 OfHKO� r_t� rF�F WATfR Piun�bing Permi# Application 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 Inspedion Servic�s,PO Box 1128,Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or a100.00 plus the normal permit fee,which eva is greater, OR If vou are a conlractor narticinatinP in the Permit Fee Account Svstem and have adeqnate lunds check here rf vou want this processed through your account rl *'t Advisory-For applicable projects,an Eledrical Installation Verification(FI�form,sigined by the Electrical Co�actor or Homeowner(for inst�Hations aIIowed to be pecforrmed by the homeo�vner)mast be sabmittcd With the permit application. Applications sebmitted withont an EIV whea sach is req�.sed,w�l not be p�ocesscd for Permit Lcsaance aad w�l be retuned for complrtion. ' 0 V Job Address Valae��i„a�,g i��a�c��s� 5• Date � Owner Contractor �� ` �Smgle Family Dapka OMatti-Fxmily ❑Rc�ntal OCommerciai ❑Indnstriat Number of Fiztares: �°b S�P�mP Plaster Sink Roof Drain Shower San.Sump/Pump ScWlrry Sink Soda Di SP Wh�P�� Water SoRenu Service Sink Coffee Mkr Lavatory Standpipe Rec Shamp Sink Site Drain Toil� Cmrege FD Surgeau Sink Waivs Sm Kit Sink [.ocal Waste 5�� Ice Chts[ Disposal Bar Sink RPZ Valve Comm Ice Mak� Dishwasher Brealmn Sink Bidet Int C,rease Trap F{oor Drain Classrtn Sink Urina! Ext Grease Trap : Hose Bibb Ea�m Sink Beer Tap Eye Wash Sfi Water Heatu � F Pr�Sink Dipper Well Deduct Meter �Gas 7 Etect�7 PwrVnt Floor Sinlc Drink Fnfi Wtr Sewer MV Cbthes Wshr (-��S� Wash Fnm Wtr Usage Mv Lndry Tray Lab Sink Catch Basui Misc Fixtures Etectric Contractor(for projects not reqairing an EIV Form) Use/Natare of Work ��,r{�e�C,�Q�,s.��,,,,� Size Material TYPe # Conn.Type Sanitary Sewer Storm Sewer Water Service Ob/09