HomeMy WebLinkAbout0105285-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 910 CONCORDIA AVE
Contractor MERTEN PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner JAMES R/KATHRYN BECK
Category 411 - Residential-Water Heaters
No 105285
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 Soffner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 0 LocalWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 0 Lndry Stndp 0 ClothesWshr 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 $530.00 Plan Approval $0.00 Permit Fees $20.00 ~J 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 Dimsion
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
RECEIVED
NOV 20C1.
DEPARTN1ENT OF
.. CON I.UNJTY J VEL.O. PN1ENT
Plumbing vermnApp.cauon
OJ'HKO/H
[ hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, i~ the performance of which all parties hereto agree to and are bound by said statutes.
· Applica~n(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Ifispection 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 vou are a contractor participating in the Permit Fee ~lccount System and have adequate funds, check here
if you want this processed through your account [~
JobAddress c/lo ~f~"~' Vahle(lncludinglaborandrmtefials, ~O.'°° Date
Owner ,TI'/Xq ~&C-k Contractor ~. P ~ ~1~'
~Single Family J-lD~plex J--JMulti-Family J--JRental --1Commercial J--JIndnstrial
Number of Fixtures:
Bathtub Lnd~y S~ndp
Whirlpool D/sposal
Lavatory Dishwasher
Toilet Sump Pump
Res. Sink Ejector/Grind
Bar Sink Water Sofmer
---r----
Water Heater J Local W~ste
~.Gas [] Elect ~ PwrVnt Clo~es Wshr
Shower Bidet
Floor Drain Be~r Tap
Lndry Tray Classrm Sink
Lab Sink Surgeons Sink
Plaster Sink Bmalama Sink
Sterilizer
Electric Contractor
Use / Nature of Work
Dent. Oper. Shamp Sink
Dip Well Flr/Wst Sink
Drink Fin Catch Basin
Wait. S~ Wash Fm
Ice Chest Urinal
Exam Sink Gar Drain
ScuhSt Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink [ce Maker
Senv Sink Site Drain
Iht Grease Trap Roof Drain
Ext Grease Trap Standp Rec
O-R n-]Electric InstallAtion Verificatidn form attached
(If Replacement)
Sanitary Sewer
Storm Sewer
Water Service
Size
Material
T~e # Co~.T~e
3/02