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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 $100.00 plus the
normal permit fee, which ever is greater.
OR
~Rental
I vou are Q contractor artici arin in the Permit Fee Account Svstem
ifvou want this vrocessed throuzh vour account (;iJ
.~, #-<(
..,~ (l'!': Value (Including labor and, materials)
Contractor IZ?1~;I~~"
Job Address /94."S/' c;rPI,~';.pf<.'~;"
Owner {J/fP r/l//v:r c,'bv:::::f
DSingle Family DDuplex
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Date 4...3"iP 7
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[flMulti-Family
Dlndustrial
Number of Fixtures:
Bathtub
WhiTlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater --1-
~as 0 Elect 0 PwrVnt
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
S terillzer
Misc.
Fixtures
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
DrinkFtn
Catch Basin
Wash Fm
Urinal
Gar Drain
Wait. St.
Ice Chest
Exam Sink
Locnl Waste
Sculry S.ink
Hand Sink
F Pn:p Sink
Serv Sink
lnt Grease Trap
Ext Grease Trap
R..P.Z. Valve
Shamp Sink
Flr/Wst Sink
Soda Disp
Coffee Maker .
Comm. Ice Maker
Site Drain
Roof Drain
Standp Rec
Eye Wash Stn
Wcr Sewer Mtrs
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Surgeons Sink
Breakrm Sink
Dip Well
Hose Bibs
Deduct Meters
WIT Usage Mlrs
Electric Contractor
OR
DElectric Installation erification form attached
(If Replacement)
Use / Nature of Work
1Ze",P t::. '. ,;'i'''i~'
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/rrV" /"1" f 1$;." "',
''.I /3Y"r!- '?'if;:';~1l
Size
Material
Type
.u.
rt
Conn. Type
Id'-lO~3
Sanitary Sewer
Stonn Sewer
Water Service
-
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