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HomeMy WebLinkAbout0124063-Plumbing (water heater) o OSHKOSH ON THE WATER Job Address 1945 GROVE ST CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner CHARLES A1MARIL YN J PERRY Contractor KOCH PLUMBING Category 411 - Residential-Water Heaters No 124063 C eate Date 04/03/2007 Pan Bathtub Shower Water Softner Wait. St. Shamp Sink Coffee Maker - - - - - - Whirlpool Floor Drain Local Waste Ice Chest Flr/Wst Sink Int Grease Trap - - - - - - Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap - - - - - - Toilet Disposal Bidet Sculry Sink Wash Ftn RPZ Valve - - - - - - Res. Sink Dishwasher Beer Tap Hand Sink Urinal Eye Wash Statn - - - - - - Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs - - - - - - Water Heater 1 Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters - - - - - - Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs - - - - - - Roof Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp - - - - - Misc. Fixtures - Use/Nature Multifamily (Apt #4) - Replace gas water heater. .*DEBIT ACCT**. of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Valuation $600.00 Plan Approval $0.00 Permit Fees $25.00 0 Permit Voided Issued By ~ 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 w 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 Agent/Owner Parcel Id # 1514819706 Date 04/03/2007 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, Pernit Number, Type of Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), y 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. Apr 03 07 09:56a Clarence Koch (920) 235-0282 p.2 City of Oshkosh. Inspection Services Division POBox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 ~ OJHKOJH ON THE WATER Plumbing Permit Application I hereby apply for a permit to do and install the following plumbing on the premises hereinafter descri ed, 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 pennit(s) \\-ill result in fees being oubled or $100.00 plus the normal permit fee, which ever is greater. OR ~Rental I vou are Q contractor artici arin in the Permit Fee Account Svstem ifvou want this vrocessed throuzh vour account (;iJ .~, #-<( ..,~ (l'!': Value (Including labor and, materials) Contractor IZ?1~;I~~" Job Address /94."S/' c;rPI,~';.pf<.'~;" Owner {J/fP r/l//v:r c,'bv:::::f DSingle Family DDuplex /. .....)v...,;;,? C~\1'~~~ ... Date 4...3"iP 7 /.J.~""";,,, c"'C' r-~F:; "".~ [flMulti-Family Dlndustrial Number of Fixtures: Bathtub WhiTlpool Lavatory Toilet Res. Sink Bar Sink Water Heater --1- ~as 0 Elect 0 PwrVnt Shower Floor Drain Lndry Tray Lab Sink Plaster Sink S terillzer Misc. Fixtures Disposal Dishwasher Sump Pump Ejector/Grind Water Softner DrinkFtn Catch Basin Wash Fm Urinal Gar Drain Wait. St. Ice Chest Exam Sink Locnl Waste Sculry S.ink Hand Sink F Pn:p Sink Serv Sink lnt Grease Trap Ext Grease Trap R..P.Z. Valve Shamp Sink Flr/Wst Sink Soda Disp Coffee Maker . Comm. Ice Maker Site Drain Roof Drain Standp Rec Eye Wash Stn Wcr Sewer Mtrs Clothes Wshr Bidet Beer Tap Classrm Sink Surgeons Sink Breakrm Sink Dip Well Hose Bibs Deduct Meters WIT Usage Mlrs Electric Contractor OR DElectric Installation erification form attached (If Replacement) Use / Nature of Work 1Ze",P t::. '. ,;'i'''i~' I .. ..; #:<'1 ..- ,,'""... ;>';" /rrV" /"1" f 1$;." "', ''.I /3Y"r!- '?'if;:';~1l Size Material Type .u. rt Conn. Type Id'-lO~3 Sanitary Sewer Stonn Sewer Water Service - I-/l~ 4 -s- ~? .1.~/D5