HomeMy WebLinkAbout0158100-Plumbing (water heater) /�"'# CITY OF OSHKOSH No 158100
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 234 LAKE POINTE DR Owner MILDRED M KONRAD Create Date 10/04/2013
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
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 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. 0
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 water heater �
of Work
'�ck#12065**
L�_ �
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer :
Water Service :
Parcel id#
0614440204
Valuation $944.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided'
issued By ��� Date 10/04/2013
—�
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 afQs6kosh
Inspaxia�Services Division �
POBox li� �
Oshkosh,WI 549tf3-113t1
Phane:(920)23�5050
Fax:(92Q)236-5084
ON THE W/1TER
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Wisconsin State Ptumbing Code,in the perfoin�ance of wluch atl parties hereto agree to and are bound by said s�Urtes.
� AppGcatioa�(s)and fee(s)cau be lxnught to City Haq,Roo�m 205 ar mailed tn Ia4pecxim S�vices,PO Box 1128,Osh�oeh WI
54903-1128. Commencing work without pennit(s)will resutt in fees being doublod or 5100.�0 pl�u the nortnal permit fee,which
cYa 6s greater.
OR
l�vou are a contractor partic{patin� in the Persiit Fee Accotint SYere,■ �Kd �.�ye adeQLale fasds check /�ere
i�you wont this processed thro��h your account 11
''�`Advisory-For sppl�cable projeds,an Elecboical Instailatian V�ion(F.iV)fo�m,si�oc�bp du F�ectnicat
�o�tr�cto�o�Ho�eo�vnet tfo��ano�►d�o tie ted�me�by�e�om�m�st be�i
vvitlt the Pe�it applicstita�n• APP�o�s�b�ei wit6wt aa EIV wben sufi is rqau+ei,w�71 not be
�foz Pe�it ani w�be tcts�md f�ur oo�on.
Job Address �3 • �aiae�a��.m�� �. �
Ovrner Contractor �
�gk F��y 0�� D��'� ��� C7+c a�a�
Nnmber of Fztares:
Bathtub SumP�P Plasta Sid� Roof Ihain
Showa San.Sump/P�onp Scullay Siolc ��P
Whiripool Watu Softmer Service Sinlc Coffa Mla
��&0n' StaodP�e Rec Shamp Sidc Site Diain
Talet Gange FD Suigmas Siolc Wai4s Sm
wr s� c.o�wasce scau� ta cnac
�sa� sar smlc RP'z valve comm Ice Makc
��y� B�sa�m Siot Bidex tnt t3�ase Tcap
Fbor Ihain Classrm Siok Urinal Ext G�eave Tlap
Hose Bibb E�mm 5mt Bec'i�p BR Wag6 Sm
Water Ekatv � F Prap Sid� Dippet Wdl Deduct Meter
�Cias❑IIoct 0 PwrVnt Floor Sidc Dtinl�Fmn Wtr Sewer Mtr
Clothes Wshr Haod Sid� Wash Fom Wtr Usage Mtr
i�Y T�Y Lab Sink Catch Basm Misc Falutes
Electric�ontractor tfor proje�.s not r�g:n EIY Form)
Use/Natgre of Work
Si�e Materia( Type # (`,�.'(�
Sanitary Sewa
Storm Sewer
Water Service
06/09