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HomeMy WebLinkAbout2003-Plumbing (water heater)OSHKOSH ON THE WATER .lob Address 1225 WALNUT ST Contractor SOPER PLUMBING CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner PAUL C/BRENDA D GOETSCH Category 411 - Residential-Water Heaters No 103644 Create Date 08/21/2003 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/Replace 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 $450.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided Issued By Date 08/21/2003 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 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 ON THE WATER Job Address 1225 WALNUT ST Contractor SOPER PLUMBING CITY OF OSHKOSH No '103644 PLUMBING PERMIT -APPLICATION AND RECORD Owner PAULC/BRENDAD GOETSCH Create Date 08/21/2003 Category 411 - Residential-Water Heaters Plan Bathtub ~ 0 Shower Whirlpool 0 Floor Drain Lavatory 0 Lndry Tray Toilet 0 LndryStndp __ Res. Sink 0 Disposal Bar Sink 0 Dishwasher Water Heater 1 Sump Pump Site Drain 0 Classrm Sink Roof Drain 0 Breakrm Sink 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0 0 Water Softner 0 Drink Ftn 0 ServSink 0 Soda Disp 0 0 LocaIWaste 0 Wait. St. 0 ShampSink 0 Coffee Maker 0 0 Clothes Wshr 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 StandpRec 0 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Use/Nature SFPJ Replace gas water heater. of Work Sanitary Sewer Storm Sewer Water Service Size Material Type # Conn. Type 0 0 0 0 0 0 0 Valuation $450.00 Plan Approval $0.00 Permit Fees $20.00 [] Permit Voided Issued By Date 08/21/2003 In the performance of this work, I agree to perform ail 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 appiicent to contact the easement holder(s)ap~Ct¢--/~/' s,ecure any~ssary approvals before starting such activity. Sign at u re4~U_~-'~fj;;~;~-~.~¢_..~-..-~ Date ~f,~  - / ~ ~' 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 POBox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 O/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 conform 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) wilt result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR lf vou are a contractor participating in the Permit Fee Account System and have adequate funds, check here if you want this processed through your account [~ Job Address /,,~,~ :fi' /~t.~,~v'~ ~,, Value (Including labor and materials) _~.~) Owner /~a..,~' erm,,--~-~.o, Contractor ~ ~]Single Family [--]Duplex [--]Multi-Family ~]Rentat [--]Commercial Date [--]Industrial Number of Fixtures: Bathtub Lndry Standp Dent. Oper. Shamp Sink Whirlpool Disposal Dip Well FIr/Wst Sink [avatory Dishwasher Drink Fm Catch Basin Toilet Sump Pump Wait. St. Wash Fm Res. Sink Ejector/Grind . Ice Chest Urinal Bar Sink Water Softner Exam Sink Gar Drain Water Heater [ Local Waste Seulry Sink Soda Disp ,~Gas [] Elect [] PwrVnt Clothes Wshr Hand Sink Coffee Maker Shower Bidet F Prep Sink Ice Maker Floor Drain Beer Tap Serv Sink Site Drain Lndry Tray Classnn Sink lnt Grease Trap Roof Drain [ab Sink Surgeons Sink Ext Grease Trap Standp Rec Plaster Sink Breakrm Sink R.P.Z. Valve Eye Wash Sm Ster;lizer Electric Contractor OR Use / Nature of Work Sanitary Sewer Storm Sewer [~Electric Installation Verification form attached (If Replacement) Size Mater/al Type # Conn. Type Water Service 7/03