HomeMy WebLinkAbout0105284-Plumbing (water heater)OSHKOSH
ON THE WATER
,Job Address 1681 HUNTERS GLEN DR
Contractor MERTEN PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner JEFFREY/KERRY FRANKLIN
Category 411 - Residential-Water Heaters
No 105284
Create Date 11/12/2003
Plan
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 0 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0
Water Heater 1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature SFR/Install gas water heater.
of Work
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Valuation $1,066.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Date
11/12/2003
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
Agent/Owner
Address 1087 COZY LANE OSHKOSH WI 54901 - 0000 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.
City of Oshkosh
Inspection Services Diviston
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-$050
Fax: (920) 236-5054
RECEIVED
NOV 1 1
DEPARTMENT OF
Plumbing
O./HKO/H
I hereby apply for a permit to do and install the follOwing plumbing on thc premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all part/es hereto agree to and are boand by said statutes.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit Fee ,4ccount System and have adequate funds, check here
if you want this orocessed through your account ~
Job Address /b~/ 1~'7~_("?~h, Value(tncl,di,gl~bo~and~'~b~s) /0~/' ,o Date /D~/O~
~ ~~ Contractor
Owner
'~]Smgle Familyv r-]Duplex ['-]Multi-Family r"~Rental [~]Commercial r~Industrial
Number of Fixtures:
Bathtub Lnthy Standp Dent. Oper. Sham;> Sink
Whirlpool Disposal Dig Well Hr/Wst Sink
Lavatory Dishwasher Drink Ftn Catch Basin
Toilet Sump Pump Wait. St. Wash Fm
Res. Sink Ej~'tor/G-find Ice Chest Urinal
Bar Sink Water Sottner Exam Sink Gar Drain
Water Heater [ Local Waste SculD' Sink Soda Disp
,~Gas ~ Elect 2 PwrVnt Clothes Wshr Hand Sink Coffee Maker
Shower Bidet F ~ Sink lee Maker
Floor Drain Beer Tap Sen, Sink Site Drain
Lndw Tray Classrm Sink Iht Greose Trap Roof Drain
Lab Sink Surgeons Sink Ext Grease Trap Standp Rec
Plaster Sink Breakrm Sink
Sterilizer
Electric Contractor
Use / Nature of Work
Sanitary Sewer
Storm Sewer
Water Service
O-R [-']Electric Installation Verificati6n form attached
(If Replacement)
Size
Material Type ;~ Conn. Type
3/02