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Home My WebLink About0123787-Plumbing (water heater) e OSHKOSH ON THE WATER Job Address 1224 ALGOMA BLVD CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner JOHN MNlCKI SCHORSE Category 411 - Residential-Water Heaters Contractor KOCH PLUMBING 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 No 123787 Create Date 03/13/2007 Plan Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs SFR / Replace gas water heater. **DEBIT ACCT**. Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcelld # 1201550000 Valuation Issued By $600.00 Plan Approval ~ $0.00 Permit Fees $25.00 0 Permit Voided I Date 03/13/2007 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. ~r 13 07 10,25. 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 p. 1 ~ OfHKOfH ON TH::: \NAi"cR Plumbing Permit Application 1 hereby apply for a permit to do and install the follo-wing 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 Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI 54903-1128. Commencing work withoutpermit(s) will result in fees being doubled or S100.00 plus the normal permit fee, which ever is greater. OR J vou are a contractor artici atino- in the Permit Fee Account Svstem and have ade ou want this rocessed throu h vour account Job Address /2 Zq- Ac~~A ,8'CUdvalue (lncludinglaborandmaterials) Owner Jt:J#N S"C#o.,zs,e Contractor e"t:'C(-( ~Single Family DDuplex DMulti-Family DRental a::o .. Pa'tc- I DCommercial Date :5-/3-cr? Dlndustrial Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater' --'-- "'-Gas 0 Elect 0 PWTVnt Shower Floor Drain Disposal Dishwasher Sump Pump Ejector/Grind Water Sofmer Local Waste Clothes Wshr Bidet Beer Tap Classrm Sink DrinkFtn Calch Basin Wait.SI. Wash Fm Ice Chest Urinal Exam Sink Gar Drain Sculf)' Sink Soda Disp Hand Sink Coffee Maker F Prep Sink Comm. Ice Maker Serv Sink Site Drain lnt Grease Trap Roof Drain Ext Grease Trap Standp Rec RP.z. Valve Eye Wash Sm Shamp Sink WIT Sewer Mtrs Flr^Vsl Sink Deduct Meters Wtr Usage Mtrs Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Surgeons Sink Brealam Sink Dip Well Hose Bibs Electric Contractor OR , DElectric Installation Verification form attached (If Replacemen t) Use/Nature of Work ~6~?~ ~~.d- //nA--re-<-. Size Material Type .ll Tt" Conn. Type ~\ '\ J:/ ? '? . \ Sanitary Sewer Storm Sewer Water Service ~,;( 3 --/3 -0"7 11/05