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HomeMy WebLinkAbout0122831-Plumbing e 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. , :::. c ::: y (\ f": r,' os OS 05:32p Clarence Koch (820) 235-0282 p.l City of Oshkosh Inspection Services Division POBox 1130 Oshkosh, VVI54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 ~ 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 \1\ lO ~ Q (tJ.\ r' '/ (~\ \ ,,V 0 \J ~ \~ Size Matenal #' Conn. Type Type Sanitary Sewer Storm Sewer Water Service .,-,,"" . MJ<. /Z-?-Oc;. 7/03