HomeMy WebLinkAbout0157599-Plumbing (water heater) F
/�"� CITY OF OSHKOSH No 157599
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 222 W 19TH AVE Owner NEILA/PAULAA HESEK Create Date 09/09/2013
Contractor MERTEN PLUMBING&HEATING INC Category 411 -Residential-Water Heaters Plan
inspector Jon Mueller
Bathtub 0 Ciothes 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
Whiripool 0 Sump Pump 0 F Prep Sink _ 0 RPZ Valve ____0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 0 San Sump/Pump 0 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. 0 =
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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 0 '
Disposal 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 '�.SFR/REPLACE GAS WATER HEATER "check#12029
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of Work ',
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Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1404910000
Valuation $795.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided
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Issued By�— (� Date 09/09/2013
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
AgenUOwner
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. .
C'ity nf0�
In�pection Setvices I)ivision �
POBox 1I� � �
O�,WI 54903-1130 '
, Phane:(920)23G�5050
Fax:{920)236-5084
� ON THE WATER
P�ur�bn�g �# �pptica#ioA
I�Y�Y�a p�ii fio do end install tbe fallowin8 P��S��P�►���'�bed,the wark to caa�'am to the
Wisoonsin State Plumbing Code,in the performance of wluch atl parties haeto a��ee to and are bound by said stadrtas.
• AppGcatio�a(s)and fee(s)can be t�rought to City HaU,Room 2(15 a�mailed to Iospecxim Seavices,PO Box 1128,Oshlcmh WI
54903-1128. Commencing woilc without pa7nit(s)will resatt in fees being doubled or 5100.�0 pltu the norn�al permit fce,which
ts�et is greate�r.
dR
If vou are a contractor partic• inP ia the Perseit Fee Acco�tnt Syelo••� nsd l�nvo ndonarnfo tand c1�ec�E here
rf vou want this processed t�irorrg�i vor�r account (1
''�'t Advisory-Far applicable ptajeds,an ELec�ical InsmD�tian Ve�6cstiion(F.IV)f+oam,s�oed bY the necbrical
Coa�ractnr or Ho�eo�vner�fia�r�aHawd to be ledo�d by t��om�eow�m�st be�
v�ith the pe�mrt aPPlica�io�• APP�s��thoat an EIV wb�an s■ch is ro�aicd,w�l not be
pmce�foz Pe�it Is��nc�e an� be nttmei fio�oomphtion,
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dob Address �z� Vat�ue��.m � � 5, �
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Owner Contractor
��F�r 0�� ���'� D+comm� ' � + �
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Nnmber of F'iztares:
sathaib sump Pump rlastc s;ol� xoof niain
Show� Saa Sumpll'�mip Scullery Sidc ��P
�dP� Wata Soft�er Service Siolc Coffa Mkr
I'8� ��� �� Site Ihain
Toilet Gatage FD Surgmns Siolc Waitrs Sm
wc sid� r.ocat w�te S� ��
�P� Bar Sinlc RPZ Valve Comm Ice Maka
Dis6wavha B�trm Smk Bi3et Int C�ease Tiap
Fbor Ihain Clasgrm Smk Urina! Ext(uase Trap
Hose Bibb F.�aim 5mk Bec Tap Eqe Waah Sm �
Wate Ekatei � F Pte�Sink Dippa Well p��
�Cms O Eloct�PwrVnt F�S� Drinl�F�n
Wtr Sewer Mtr
Clot6w Wshr Fiaod Smlc Wash Fnm Wtr Usage Mtr
I�'T�Y Lab Sink Gtc6 Basm � Misc Fuuwns
E�CCt17C�OO�CtOT CfOi'p1'pjCC�QOt TC�jIIi/'iIIg!II���DTOI�
USC��itIIi�C Of wO�t /ll�Jrf.LL(��/ �/(J, � .
.
.
Si�e INataial Type # �,�
Sanitary Sewer
Stam Sewer
Water Service
06/09 :