HomeMy WebLinkAbout0103746-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 617 W 17TH AVE
Contractor KOCH PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner BOBBY L/ANN M FREID
Category 411 - Residential-Water Heaters
No 103746
Create Date 08/27/2003
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/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 ~J Permit Voided
Issued By
Date 08/27/2003
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 2005 DOTY ST OSHKOSH WI 54901 - 0000 Telephone Number
BUTCH (C)379-8753
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.
Ci(y of Oshkosh
[ngpection Services Division
P 0 Box 1130
OS h I~n~h, %VI ~4903- I ! 30
Phone: (920) 236-5050
Fax: (920) 236-5084
O/HKO_/H
plumbing Permit ApPlicatibn..
I hereby apply for a permit ID do and i~al] thc following ptombing on the prcmi~es hcrcina~er described, dm work t0 conform lo thc
Wisconsin Slalc Plmnbmg ~dc, in the pctfonmnce of which all paflics bcrct~ agree ~ arm arc bound by said slalulcs.
Job Address_~/7
Owner ~.JdJ'
{-~Single Family
/ 7 dc/
[-]Duplex
Numbcr of Fixtures:
Electric Contractor OR
Use / Nature Of Work:
12 EIV form attached (If Replacement)
San/lacy Sewer
Storm Sewer
Siz~ Material Typc # Conn. Type
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Serv/ces, PO Box 11:28, Oshkosh WI
54903-1128. Commencing work without permit(s) will result in fee.q being doubled or $100,00 plus the normal permit fee,
which ever is greater.
OR
Check here ~f ~ou want chis processed through your a¢~oun~ ~