HomeMy WebLinkAbout0124004-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 1360 FIRESIDE CIR
CITY OF OSHKOSH
No 124004
PLUMBING PERMIT - APPLICATION AND RECORD
Owner JOHN M/JEAN R THUR
Cre ate Date 04/02/2007
Contractor KOCH PLUMBING
Category 411 - Residential-Water Heaters
PI.m
Bathtub Shower Water Softner Wait. St. Shamp Sink offee Maker -
- - - - -
Whirlpool Floor Drain Local Waste Ice Chest Flr/Wst Sink I nt Grease Trap -
- - - - -
Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin xt Grease Trap
- - - - - -
Toilet Disposal Bidet Sculry Sink Wash Ftn PZ Valve
- - - - - -
Res. Sink Dishwasher Beer Tap Hand Sink Urinal ye Wash Statn
- - - - - -
Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec Vtr Sewer Mtrs
- - - - - -
Water Heater 1 Classrm Sink Sterilizer Surgeons Sink Ice Maker leduct Meters
- - - - - -
Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain Ntr Usage Mtrs
- - - - - -
Roof Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp
- - - - -
Misc.
Fixtures -
UselNature SFR / REPLACE POWER VENT WATER HEATER "debt acct
of Work
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1226910000
Issued By
$1,000.00
~IJ
-..-
Plan Approval
$0.00
Permit Fees
$25.00 0 Permit Voided I
Valuation
Date 04/02/2007
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 we rk
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
Address 2005 DOTY ST
Agent/Owner
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, Perr it Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), yc ur 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 reac y.
~r 30 07 02:49p
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
~
OfHKOfH
ON THi: WAT"R
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter describ d, the ,vark 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 S ices, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being oubledor $100.00 plus the
nonnal permit fee, which ever is greater.
OR
I ou are a contractor artici atin in the Permit Fee Account Svstem
i{you want this processed throuf!h VOW" account Ji(I
JobAddress Is6() Fi~"S"lo/:' till, Value (Including labor and materials)
Owner Jp/l/o./ nl.p;;:~ Contractor '( OCl""
t)l;;O !.!..
f'~..IJ &, ,
Date "3 ....30...07
[XISingle Family
DDuplex
DJ.\tlulti-Family
DRental
DCommerc al
OIndustrial
Number ofFLxtures:
Bathtub Disposal
Whirlpool Dishwasher
Lavatory Sump Pump
Toilet Ejector/Grind
Res. Sink Water Softner
Bar Sink Local Waste
Water Heater --'- Clothes Wshr
;tGas 0 Elect 0 PwrVnt Bidet
Shower Beer Tap
Floor Drain Classnn Sink
Lndry Tray Surgeons Sink
Lab Sink Breakrm Sink
Plaster Sink Dip Well
Sterilizer Hose Bibs
Misc.
Fixtures
Electric Contractor
Use / Nature of Work e~;p~ ~ _ :;J
'~ /Z-.
DrinkFtn Catch Bastn
Wait. 51. Wash Ftn
Ice Chest Urinal
Exam Sink Gar Drain
Sculry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Comm. Ice Maker
Serv Sink Site Drain
Int Grease Trap Roof Drain
Ext Grease Trap Standp Rec
R.P.Z. Valve Eye Wash Stn
Shamp Sink Wtr Sl:wer Mtrs
FlrlWst Sink Deduct Meters
\Vtr Usage Mtrs
OR DElectric Installation V rification form attached
(If Replacement)
A 4.1...~, 'rpr':'i"r.r...It./..\ '.~,' .... "")('..j.'~" .
'-'" " ,'~. .;....dP' IA/ ">"~' J'" ~I<, / Q1' . f /:";"1.:;,' I.;{ ./:,:".:.t,:! '" ;f. "'",0"'"
. fittII'" '~'l:-;,";;'~"'" II" ~J',.,.I~' ::..r;.f;. I' .......~ '.. ' ~ "-.... ,. j: fl'"i.-!' #i-' .. 1- ,.;:or; ,(q;.:
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
11/05