HomeMy WebLinkAbout0122865-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 2114 BOWEN ST
CITY OF OSHKOSH No 122865
PLUMBING PERMIT - APPLICATION AND RECORD
Owner CHARLES A1MARIL YN J PERRY Create Date 12/12/2006
Plan
Contractor KOCH PLUMBING
Category 441 - Industrial-Water Heaters
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest FlrlWst Sink
Lndry Tray Clothes Wshr Exam Sink Catch Basin
Disposal Bidet Sculry Sink Wash Ftn
Dishwasher Beer Tap Hand Sink Urinal
Sump Pump Lab Sink Plaster Sink Standp Rec
Classrm Sink Sterilizer Surgeons Sink Ice Maker
Breakrm Sink Dip Well F Prep Sink Gar Drain
Ejector/Grind Drink Ftn Serv Sink Soda Disp
Coffee Maker
Int Grease Trap
Ed Grease Trap.
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
COMM (MUL TI-FAMIL Y) #1/ REPLACE WATER HEATER ""debt acct
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1522830000
Valuation $600.00 Plan Approval
Issued By CJy\llAJ
$0.00 Permit Fees
$25.00 0 Permit Voided I
Date 12/12/2006
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 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.
Y'c
i
12 06 12:35p
Clarence Koch
(920) 235-0282
p. 1
City of Oshkosh
Inspection Services Division
POBox 1130
("Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
DEC12~J
~
OJHKOJH
ON THE WATER
Plumbing Permit AppHcation
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter descnbed, 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 HaIl, 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
[(YOU are a contractor participatinfl in the Permit Fee Account System and have adequate funds check here
i(vou want this processed throuf!:h vour account 11a'.
.+"'" /'
yC". ti
Job AddressZ 1/4 ,Bt)u/~;f:.~.5\;rt' Value (Including labor and materials) 600 1/1~ Date Ie'''' /z -or;
Owner {~")'d/;"';,r:'$'. ('~.?JV:4:'" Contractor It! Ptt::,';,/' ~-{,{'V,fl"iS~i:'\(".~
,
DSingle Family DDuplex ~ulti-Family ~ental DCommercial Dlndustrial
{"'Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater -L-
fi(Gas 0 Elect 0 PwrVnt
Shower
Disposal
Dishwasher
DrinkFln
Wait.St-
tee Chest
Exam Sink
Sculry Sink
Hand Sink
F Prep Sink
Serv Sink
IntGreaseTrap
Ext Grease Trap
.. R.P.Z. Valve- -
Shamp Sink
FlrlWst Sink
Carc:b Basin
Wash Ftn
Urinal
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Surgeons Sink .
Breakrm Sink
Dip Well
Hose Bibs
Gar Drain
Soda Disp
Coffee Maker
Camm. Ice Maker
Site Drain
Roof Drain
Standp Rec
Eye Wash. Sm.. - -.
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Fixtures
Electric Contractor
OR
DElectric Installation Verification form attached
(If Rc]>lacement)
Use I Nature of Work 7Z:G;; 4?~Cof'::" 4/jt;! ;#(:.:~, /;,;:~.~?/;;;;};;.~> . {'.
Size
Material
Type
#
Conn. Type
r:Sanitary Sewer
Storm Sewer
Water Service
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