HomeMy WebLinkAbout0158099-Plumbing (water heater) � CITY OF OSHKOSH No 158099
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2818 SHOREWOOD DR Owner RICHARD J/BETH E SWARTZ 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
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 Flr/Wst 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
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 ISFR/replace water heater �
of Work
'�"ck#12065"'
Size Material Type # Conn.Type J
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1518613200
Valuation $1,179.79 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided�i
Issued By �l/1�, 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 of O�h
InsNection Setvices Diviswn �
POBo�c ti� �
O�,WI 54983-I 13(i
Pficxie:(920)23�SEi50
Fax:(920)236-SOS4 '
ON THE WATER �
P#ur��g Pern�# �4p�ication
j�Y�r for a p�ic to dc►encr;nstau tt�e fotlowing pl�es oa rhe p�mises haeinatia�acscr;6ea,me woaic to co�nfotm to the
Wisconsin State Plumbing Code,in the paformance of which ati paities ha d�o agoe to and are bound by said statutas.
� App6catioo(s)and fee(s)can be h�vught to City Hall,Room 205�mailed tn Ia4pec�ion Savioes,PO Box 1128,Oshlcnsh WI
54903-1128. Comme,ncing work without paTnit(s)witl ravlt in fees being doubted or 5100�0 plos the normal permit fce,which
erer is greater.
OR
If voti are a contractor�articipati� ia the Pera�it Fee Acco�nt Sraten� and have adey�ate fieads caeck bere
i£vou want this�rocessed t�irou�h yo�rr acco�nt T�1
'k''`Advisory-Foz applicable prajocts,an Elec�ical InstaYlation Veri6caLion(EIVj fio�m,si�oel by the E�edricai
Co�rac�or az Ha�co�aner(tor�allowd�o�e�edo�md b�t�e�m�st�e s�d
vQith the penmrt agplicad�o�. Applic�iaos s�mitbed withoat an EIV�vLea sac�is n�ti�d,vr�l not be
troce�far Pe�t an�wffi be�e�d fvr oo�tH�.
dob Address � �l'1 Va�ne����a�c�� � Dah ,3 �
Owner � CoHtractor T �
��F�r D�� F� 0�� f�
Namber of F'iztares:
B�b Sump Pump Plaster Sidc Roof Ihain
S6ower Saa SwnplP�p Scullay Siol� Soda Disp
Whidpool Watu Sottmer Service Sml� Coffa MIQ
��BtaY StandPipe Rx SFwmp Sidc Site Dnin
Toila Garag,e FD Surgoms Sid� Waias Sm
ic;c s� r.o�wa�e su�� t�cnac
n�spoeal sar s;m� xrz val.�e comm Ice MdC«
���y� Brea�m Smt Bidet lrt(Laso Trap
Floor Ikain Classm Smk Uiinal Ext(i�s4e Trap
Hose Bibb Hom 5mt BcQ'I�P Ey�e Was6 3m
Wata Hea2er � F Pre�Sint Dipper Wdl Deduct Metc
❑Gas❑F]xt'� Vnt Floor Siolc Drinl�Fnm Wtr Sewrr Mtr
Clothes Wshr Flaod Sidc Was6 Fom Wtr Usage Mtr
i�Y T�3' [ab Smlc C�atch Buin Mi9c Fuuu�
Etectric Contnctor(for projccts aot ra�ir�eg:n EIV Form)
Use/Na1m of Work
Si�e Mat�rial Type # Com.l�rpe
Sanitary Sewa
Stam Sew�
Watet Service
06/09