HomeMy WebLinkAbout0158788-Plumbing (water heater) � CITY OF OSHKOSH No 158788
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 823 MERRITT AVE Owner SHAWN MCAULEY Create Date 11/18/2013
Contractor WATTERS PLUMBING 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 FINWst 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 Trep 0
Hose Bibb 0 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 1 .
Use/Nature Replacing water heater
of Work
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II __J
Size Material Type # Conn.Type
Sanitary Sewer
Stortn Sewer
Water Service
Parcel Id#
1101150100
Valuation $1,400.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided',
issued By Date 11/18/2013 :
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 PO BOX 118 MENASHA WI 54952 -0118 Telephone Number 920-733-8125
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.
11/15/2013 FRI 16: 17 FAX 920 733 2713 Watters Plumbing �001/001
Ciry of Oshkosh
Inspection Services Division �
P O Box 1I30 �
Oshkosh,WI 54903-1130
Phone:(920)236-5050 � f � 2y �� O HK �
Fa,c:(920)236-5084
- ON THE WI.TER .
Ptumbing Permit Apptication
I hereby apply for a permit to do and install the following plumbing on ihe premises hereinafter described,the work to conform to the
Wisconsin State Plumbing Code,in the performance of which all per[ies hereto:xgree to and aze bound by said statuLes.
• Application�s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspeation Services,PO Box 1 I28,Oshkosh WI
54903-1128. Commencing work without permit(s)will result in fees being doubleci or$100.00 plus the normal permit fee,which
ever is greater.
OR
I vou are a contractor artici atin in the ermit F e Account S stem and have adeauate funds. check here
i ou want this rocessed throu h ur account
**Advisory-Far applicable projects, an Elerorical InstaUation Verificati�on(EI�form, signed by the Electrical
Corrtractor or Homeowner(foc installations allowed to be performed by the homeowner)must be submitted
witi�the permit application. Applicaxions submitted without an EN when such is required, will not be
processed for Permit Issuance and wiIl be retwrned for completion. �
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Job Address �� VC� VALIIC(IncluJing[nbor and metetials) / � Date �/
ner J,QYV1(� SE{��}(� Contractor c/�G� f't�' /�.� P!�,�..�
ngle Family �Duplex O1Vlulti-Famity ❑Rental ❑Commerciai �Industrial
Numbex•of Fiz#ures:
Bathtub Sump Pump Plaster Sink Roof Drain
Shower San.Sump/Pump Sculiery Sink Soda Disp
Whirlpool Woter SaRcner _� Service Sink Coffea Mkr
Lavatory Stnndpipe Rec Shamp Sink Site Drain
Toilet Garage FD Surgeons Sitilc Waitrs Sh�
Kit Sink Local Waslc Sterilizer Ice Chest
Disposal Ber Sink RPZ Valve Comm Ice ivlaka
Disliwasher Bresk�m Sink Bidet Int Grease Trap :
F1oor Drain Claesrm Sink LJrinal Ext Cncasa Tnp
Hosa i3ibb Facam Sink Beer Tap Eye Wash Stn :
Wutec Heater __,� F�*�S ink Dipper Wel[ Deduct Meter
U Gas U Elect;}�,vrVnt Floor Sink �_ Drink Fntn Wtr Sewer Mtr
[
Clothd V✓shr I-Iand Sisil: Nash Fntn VNtr Usage Mtr
Indry Tray Lab Sink Catch Basin Misc Fixturas
Electric Cantractor(for projects not requiring an EIV Forcn)
Use/Nature of Work
Size Material Type # Conn.Type
Sanitary Sewer :
Storm Sewer :
Water Service
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