HomeMy WebLinkAbout0123444-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 1910 EVANS ST
CITY OF OSHKOSH
No
123444
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 CHARLES A1MARIL YN J PERRY Create Date 02/08/2007
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 Eye Wash Statn
Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Steri I izer 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
Multifamily/ Apt #4 - Replace gas water heater. **DEBIT ACCT**.
I
I
Size Material Type , # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1514819706
Issued By
$600.00 Plan Approval
~
$0.00
Permit Fees
$25.00 D Permit Voided I
Valuation
Date 02/08/2007
I
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 9 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 - OOOp Telephone Number 920-231-6661 or 235
To schedule inspections please call the Inspection Request line at 236-5128 n<>ting 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.
~b. 08 ~7 OS,47a
City of Oshkosh
Inspection Services Division
POBox 113 0
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Clarence Koch
(820)
235-0282
P .1
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OfHKOfH
ON THE WATER
Plumbing Permit Application
I hereby apply for a permit to do and install the following plwnbing 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 said statutes.
. Appl1cation(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 permit(s) will result in fees being doubled or $100.00 plus the
nonnal permit fee, which ever is greater.
OR
ou
in the Permit Fee Account S
our account
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Job Address / ~ I t? ;?"(/;rtt,.(~?"::;"I';:'i1- Value (Including labor and materials) 6t:JC) ~_a:.. Date 2-'0 -c? '7
Owner {lAp 1'" /;":/""""-~." ('bf/:~::: Contractor /C~C/f/ /~/:;<, c; ,
DSingle Family DDuple).: [kIMu lti-Fa mily ~Rental DCommercial DIndustrial
Number of Fixtures:
Bathtub Uidry Standp
Whirlpool Disposal
Lavatory Dishwasher
Toilet Sump Pump
Res. Sink Ejector/Grind
Bar Sink Water Softner
Water Heater / . Local Waste
~Gas 0 Elect 0 pwrVnt Clothes Wshr
Shower Bidet
Floor Drain Beer Tap
Lndry TT3:Y Classnn Sink
Lab Sink Surgeons Sink
Plaster Sink BreaJam Sink
Sterilizer
Electric Contractor OR
Dent. Oper. Shamp Sink
Dip Well FlrlWst Sink
DrinkFtn Catch Basin
Wait. St. Wash Ftn
Ice Chest Urinal
. Exam Sink Gar Drain
Sculry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Ice Maker
Serv Sink Site Drain
lnt Grease Trap Roof Dmin
Ext Grease Trap Standp Rec
R.P.Z. Valve Eye Wash Sin
OEle~tric Installation Verification form attached
(If Replacement)
Use / Nature of Work
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~;',,~;tt,iI>i;~::<~;Ii~' l:t<<:i.;..-'~';'$ ;;;....~~::"';..,>z.
Size
Material
Type
#
Conn. Type
'\
01\'" ~I.\clc.\
\lr'
Sanitary Sewer
Storm Sewer
Water Service
7/03