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HomeMy WebLinkAbout0123637-Plumbing (water heater) ..0 OSHKOSH ON THE WATER Job Address 2553 VILLAGE LN #A CITY OF OSHKOSH No 123637 PLUMBING PERMIT - APPLICATION AND RECORD Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Owner VERNON G GAUGER REV TRUST Create Date 02128/2007 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 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 Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature Multifamily / Replace electric water heater. EIV provided by Cumings Electric. **DEBIT ACCT**. of Work Valuation Issued By Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcelld # 1321080000 $150.00 Plan Approval $0.00 Permit Fees $25.00 D Permit Voided I ~. Date 02/28/2007 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to secure any necessary approvals before starting such activity. Signature Date AgenUOwner Address 2005 DOTY ST OSHKOSH WI 54902 - 7040 Telephone Number 920-231-6661 or 235 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. ."'b 28 07 10: 44a :;:b 2B D7 lU:1::>a :::' Clarence Koch cumlngsclecerlc Inc (920) 235-0282 ~e:u -"Ie: e: -U Onj::! p. 1 p.l ~ ~ . ,. W"'\U Cit)' oro.llkOf.h Di..uioa ofla:spe<:liOl\.$nvicn 21$ ClJlnb A~I"1I< PO Belt llJO . OslIkodl wt :14901-1 130 Ofi"w:e 9>>2'~$0$O fA>: Uo..2J~50&.c Electric Installation VerificatioD I (We) COKIHGS ELEC'DUC INC. (Electrical Contractor Name) P 0 .BOX 749. HEE!WI. WI 54957 (Address) (City) (State) (ZIp Code) have been contracted to perform electric installation work: for VERN GAUGER (Name ofpartyoontracted to) at the following address: 2553 VILLAGE LANE (Address where work will be penormcd) The nature of the worle consists of: (Check One or Describe the Nature of Work:) Rccbooection or new circuit fo~ replacement Heating Plant and/or Ale Condenser. --X- Reconnection or new circuit for replacement Electric Water Heater or power vco.ted water heater. Reoonnection of the Service Entrance Cable, Meter Box, alterations to receptacles and lighting fixtures due to siding /soffit installation. Note: New Se:tVice Entrance Cables win require a separate permit. ReconncctioIl or new circuit for the replacement of other permanently wired appliances I fixtures. New circuit for the addition of Ale to an in4ividual dwelling unit (house or the individual systems in a duplex or condominium), including required service electrical outlets. Other The value of this work is $ 85.00 I hereby verify this work will be performed by an employee of this company and further verify the reconnection I installation will be done in compliance with manufacturer and Electric code requirements. JUCHARD .J VERZEL (print Name of Officer) 2/2B/07 (Date) W2 ~)C 2-20-07 ~'b 28 07 08:55a Clarence Koch y X ~ City of Oshkosh -:- Inspection Services Division POBox 1130 Oshkosh, \v'I 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 (920) 235-0282 p. 1 ~ OfHKOfH ON THE WATER Plumbing Permit Application I hereby apply for a pennit 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 ofwmch aU parties hereto agree to and are 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 permit(s) will result in fees being doubled or $100.00 plus the normal pennit fee, which ever is greater. OR J au are a contractor artici atin in the Permit Fee Account Svstem and have ade i(vou want this orocessed throuf!h your account Q(l t/ It! IT Job Address2~S-S f/;(.lll-WZ:: LA. Owner I/c,;!A/' a A-~r~.. DSingle Family DDup]~x A- I <""" r') e Value (Inclucing labor and materials) ..; (/ Contractor /::'oc/./' ~~t;;, DMulti-Family DRental DCommercial DateZ-Z~-OI OIndustrial Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Disposal Dishwasher Drink Ftn Catch Basin Wait.St Wash Fm lce Chest Urinal Exam Sink Gar Drain Sculry Sink Soda Disp ~ Hand Sink Coffee Maker F Prep Sink Comm. Ice Maker Serv Sink Si Ie ~ain Int Gre3Se Trap Roof Drain Ext Grease Trap Slandp Ree RP.Z. Valve Eye Wash Stn Shamp Sink Wtr Sewer MtTS FlrlWst Sink Deduct Meters Wtr Usage Mtrs Res. Sink Bar Sink Wate.- Heater I o Gas;(Elect 0 PwrVnt Shower floor Drain Sump Pump Ejector/Grind Water Softner Local W.aste Clothes V.'shr Bidet Beer Tap Classnn Sink Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Electric Contractor IV~H~b5 Surgeons Sink Breaknn Sink Dip Well Hose Bibs ~ DElectric Installation Verification form attached (If Replacement) Use / Nature of Wark ;ec-/lI'~AC/C .k/ ,47 /.:::~.. H t,:f" ~ T e-,A!.. Size Material Type # Conn. Type Storm Sewer Jj~1J . 1 1] ~ Sanitary Sewer \Vater Service 11/05