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Home My WebLink About0103293 POSHKOSH ON THE WATER .lob Address 172 W 22ND AVE Contractor SOPER PLUMBING Bathtub 0 Shower Whirlpool 0 Floor Drain Lavatory 0 Lndry Tray Toilet 0 Lndry Stndp Res. Sink 0 Disposal Bar Sink 0 Dishwasher Water Heater 1 Sump Pump Site Drain 0 Classrm Sink Roof Drain 0 Breakrm Sink CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner THOMAS/BEVERLY BOETTCHER Category 411 - Residential-Water Heaters No 103293 Create Date 08/05/2003 Plan 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0 0 WaterSoftner 0 Drink Ftn 0 ServSink 0 Soda Disp 0 0 Local Waste 0 Wait. St. 0 ShampSink 0 Coffee Maker 0 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0 0 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Use/Nature SFR/Replace gas water heater. of Work Valuation Issued By Sanitary Sewer Storm Sewer Water Service Size Material Type # $425.00 Plan Approval $0.00 Permit Fees Conn. Type 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 $20.00 Date 08/05/2003 Permit Voided In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address 2225 BURNWOOD DR Oshkosh WI 54902 - 0000 Telephone Number 426-2151 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. OSHKOSH QN THE WATER Job Addrese 172 W 22ND AVE Contractor SOPER PLUMBING CITY OF OSHKOSH No 103293 PLUMBING PERMIT - APPLICATION AND RECORD Owner THOMAS/BEVERLY BOETFCHER Create Date 08/05/2003 Category 411 - Residential-Water Heaters 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 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0 Toilet 0 Lndry Stndp 0 Clothes Wshr 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 RPZ Valve 0 Water Heater I 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 of Work IFR/Replace gas water heater. Sanitary Sewer Storm Sewer Water Service Size Material Type # Corm. Type 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Valuation $425.00 Plan Approval $0.00 Permit Fees $20.00 Issued By ~h [] Permit VoidedI Date 08105/2003 Signature '~,~'~.~ ~ ~ ~(~-~'~' ~ ~ ~' Agent/Owner Address 2225 BURNWOOD DR Oshkosh WI 54902 - 0000 Telephone Number 426~2151 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 Division P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 OJ'HKO_/H Plumbing Permit Application I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to confolm to the Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound 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 Account System and have adequate fund& check here ff you want this processed through your account [~ Job Address Owner [~Single Family [~Duplex Value (Including labor and materials) Contractor [~VIulti-Family [--]Rental [-~Commerciai [~Industrial Number of Fixtures: Bathtub Lndry Standp Whirlpool Disposal Lavatory Dishwasher Toilet Sump Pump Res. Sink Ejector/Grind Bar Sink Water So ftner Water Heater ~ L~cal Waste ~[Y~3as [J Elect [2 pwrVnt Clothes Wshr Shower Bidet Floor Drain Beer Tap Lndry Tray Clvssrm Sink Lab Sink Surgeons Sink Plaster Sink Breakrm Sink Sterilizer Electric Contractor Use / Nature of Work Size Sanitary Sewer Storm Sewer Water Service Dent. Oper. Shamp Sink Dip Well Flr/Wst Sink Drink Fte Catch Basin Wait. St. Wash Ftn Ice Chest Urinal Exam Sink Gar Drain Sculry Sink Soda Disp Hand Sink Coffee Maker F Prep Sink Ice Maker Serv Sink Site Drain Int Grease Trap Roof Drain Ext Grease Trap Standp Rec R:P.Z. Valve Eye Wash Stn OR Material Type [--]Electric Installation Verification form attached (If Replaceraent) # Conn. Type 7/03