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Home My WebLink About0123429-Plumbing (water heater) G OSHKOSH ON THE WATER Job Address 621 MONROE ST CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner MICHAEL R/KIM SAWALL Contractor KOCH PLUMBING Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Category 411 - Residential-Water Heaters 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 DipWelJ F Prep Sink Gar Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp No 123429 Create Date 02/07/2007 Plan Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs SFR/ Replace direct vent gas water heater. **DEBIT ACCT** Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcelld # 0405470000 Valuation Issued By $800.00 Plan Approval ~ $0.00 $25.00 0 Permit Voided I Date 02/07/2007 Permit Fees 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. lb ~~~~~~~~mwn POBox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 . Clarence Koch (9?OJ 235-0282 f'. 1 ~ OJHKOJH ON THE WATER 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 perfonnance of which all parties hereto agree to and are bound by sai.d statutes. . Application(s) and fee(s) can be brought to City Hall, Room20S or mailed to Inspection Services, PO Box 1128, Oshkosh WI 54903-1128. Commencing work withoutpennit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR If vou are a contractor participatin~ in the Permit Fee Account Svstem and have adeouate funds. check here if you want this processed throuf!h your account [AJ Job Address~Z/ AfCJM?P;(.-3 JItiI! I'.P,,".,. ;' .;:ii;''';. ~ .".....l..lt ,r .,,' Owner"f ~~t ~""'.,{...... ::;)n ,i4/.n' ....~ Value (Inch.Jding labor and materials) s.~~ ....,,*"- .- .;.",.! """.~ ." " ,J ~ . ".:f ..::,./:~, "1; .J'? ~~".? Date .~... ".;;,' -. /" h ?/ M /C' //y""~ DIn du strial Contractor K'C?.c#' DRental DCommercial {]JSingle Family DDuplex []Multi-Family Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater / )t:6as 0 Elect ~t Shower Disposal Dishwasher Sump Pump Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Classnn Sink . Surgeons Sink - Brea1crm Sink Dip Well Hose Bibs Drink Fin Wait St. Ice Chest Exam Sink Sculry Sink Hand Sink F Prep Sink Serv Sink Int Grease Trap EAt Grease Trap RP2. Va.lve-. '.. Shamp Sink FlrfWst Sink Catch Basin Wash Fin Urinal Gar Drain Soda Disp Coffee Maker Comm. Ice Maker Site Drain Floor Drain Lrtdry Tray Lab Sink Plaster Sink Sterilizer Roof Drain Standp Rec Ey".Wash.Stn-. Wtr Sewer MtTs Deduct Meters Wtr Usage Mll'S Misc. Fixtures Electric Contractor OR DElectric Installation Verification form attached (If Replacement) . Use I Nature of Work lZ/::,rPt?' ~li:;;<i' ,:/~;:--.;.ti';~ '.I-//;..,"/,.:'~('it~' fI'/i"t..&~ Size Material Type # Conn. Type f0l\ (\\ ./J f}\ "-A \ ~~. "V\ . \ 0-- u/os Sanitary Sewer Storm Sewer Water Service ,;,;"",.#..,. I ,~~.,.,. ;"'1,...1i-~. ...~.. r I'..~, ' ;;:;. ,,," '~~~"d>',,-:." ,';'; ;;7