HomeMy WebLinkAbout0123546-Plumbing
o CITY OF OSHKOSH No 123546
OSHKOSH PLUMBING PERMIT - APPLlCATIO~AND RECORD
ON THE WATER
Job Address 806 E NEW YORK AVE Owner JACK/BARBARA J SAUNDERS Create DatE~ 02119/2007
Contractor KOCH PLUMBING
Category 411 - Residential-Water Heaters
Bathtub Shower Water Softner Wait. St. Shamp Sink
Whirlpool Floor Drain Local Waste Ice Chest FlrlWst Sink
Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin
Toilet Disposal Bidet Sculry Sink Wash Ftn
Res. Sink Dishwasher Beer Tap Hand Sink Urinal
Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec
Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker ,fi
Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain
Roof Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp
Misc.
Fixtures ,
Use/Nature FR / REPLACE GAS WATER HEATER ""debt acct
of Work
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Valuation $600.00 Plan Approval
Issued By ?5'YrJ Lt )
$0.00 Permit Fees
$25.00 0 Permit Voided i
Plan
Coffee Maker
1nt Greasie Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewi~r Mtrs
Deduct Meters
Wtr Usage Mtrs
Pclrcelld #
1 ~i09850000
Date 02/19/2007
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
Address 2005 DOTY ST
Agent/Owner
OSHKOSH
WI 54902 - 0000 Telephone Number 920-231-()661 or 235
Date
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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 16 07 04,57p
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Clarence Koch
(920) 235-0282
F. 1
FEB t 92001
~
OJ~1KOJH
ON THE Wt'.TER
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 performance of which all parties hereto agree to and are bound by said statutes.
· Application(s) and fee(s) can be brought to City Han, 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
If vou are a contractor lJarticioatinf! in the Permit Fee Account Svstem and have adequate funds, check her-e
ifvou want this vrocessed throuflh vour account [)(1
Job Address 80& C:M=!;Y~O~Z' Value (Including labor and materials} 6ao~~
Owner WCIC: S-4t:..M/~.;;;yl S" Contractor /(' OC/{ ;:%;.g~
~Single Family DDuplex DMulti-Family DRental DCommercial
Date Z-/C, -z);
[]Industrial
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink'
Bar Sink
Water Heater I
ts(Gas 0 Elect [J PwrVnt
Shower.
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Disposal
Dishwasher
Sump PLJrl1p
EjeclorfGrind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer-Tap
Classrm Sink
Surgeons Sink
Breakrm Sink
Dip Well
Hose Bibs
Drink Fin
Catch Basil1
Wash Fm
Urinal
Wait.St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
,F Prep Sink
Serv Sink
In! Grease Trap
Ext Grease Trap
RP.Z. Valve
Shamp Sink
FlrfWst Sink
Gar DnLin
Sterilizer
Misc.
Fixtures
Soda Disp
Coffee Maker
Comm. lee Maker
Site Dmin
Roof Drain
Standp Rec
Eye Wa.sh Stn
Wrr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Electric Contractor
OR
DElectric Installation Verification form attached
err Replacement}
Use / Nature of Work 7Zc,4't!-./1C/~ 41/ATd"d#C,4-r&re
Size
. Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Mk'
2-/1..,-t:)7
11/05