HomeMy WebLinkAbout0122831-Plumbing
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OSHKOSH
ON THE WATER
Job Address 633 JEFFERSON ST
CITY OF OSHKOSH
No
122831
PLUMBING PERMIT - APPLICATION AND RECORD
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner LEE J TRITT Create Date 12/07/2006
Category 411 - Residential-Water Heaters Plan
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest FlrlWst Sink Int Grease Trap
Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Bidet Sculry Sink Wash Ftn RPZ Valve
Beer Tap Hand Sink Urinal EyeWash Statn
Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Sterilizer Surgeons Sink Ice Maker Deduct Meters
Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Drink Ftn Serv Sink Soda Disp
Contractor KOCH PLUMBING
Duplex! Upper unit - Replace water heater. **DEBIT ACCT**.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
0402180000
Issued By
$600.00 Plan Approval
r2~
$0.00 Permit Fees
$25.00 0 Permit Voided I
Valuation
Date 12/08/2006
In the performance of this work, I agree to perform all work pursuantto rules goveming 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
Address 2005 DOTY ST
Agent/Owner
OSHKOSH
WI 54902 - 0000 Telephone Number 920-231-6661 or 235
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.
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Clarence Koch
(820)
235-0282
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City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, VVI54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
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OfHKOfH
ON TH~ ""I\TE"R
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to confonn to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to andare 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 pennit(s) will result in fees being doubled or $100.00 plus the
norma] permit fee, which ever is greater.
OR
If YOU are a contractor lJarticiVQtinfl in the Permit Fee Account Svstem and have adeauate funds. check here
i ou want this rocessed t,h rou h our account . / L ~L/}/'.:..L--.
. .....- .--./""7 1-
Job Address 633 J.E~ ; E4?...{ ;/'V" --v;i-;~ (Including labor and materials) 60Ci !.::... Da te / Z -r;, -a r;.
Owner LC6' f;Z[t::r Contractor focpl h4C.
U"
DSingle FamilyiZIDuplex DMulti-Family DRental DCommerhial Dlndustrial
~' I' /" /i_ -+. ., .., 3 I - t- t,.t;., I
A ,~~~.vA d-
0.'--' , ,., '70. _ '?75' LJ
Number of Fixtures: :? 1
Ba.thtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater ~
J{Gas DElect 0 PwrVnt
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
S ten I i:z.cr
Lndry Standp
Disposal
Dishwasher
IXmt. Oper. Shamp Sink
Dip Well F1rlWst Sink
Drink rm Caleh Bas;n
Wait. St. Wash Ftn
Ice Chl:St Urinal
Exam Sink Gar Drain
Sculry Sink ':"I
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 w..a~h Stn
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classnn Sink
Surgeons Sink
Br=1crm Sink
Electric Contractor
OR
DElectric Installation Verification form attached
(If Replacement)
Use I Nature of Work E&;pc';;'C/i~
W.47d~t. }/6/1r&-'4
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(tJ.\ r' '/ (~\
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Size Matenal
#'
Conn. Type
Type
Sanitary Sewer
Storm Sewer
Water Service
.,-,,"" .
MJ<. /Z-?-Oc;.
7/03