HomeMy WebLinkAbout0124062-Plumbing (water heater ) #6
G
OSHKOSH
ON THE WATER
Job Address 828 MALLARD AVE
CITY OF OSHKOSH No 124062
PLUMBING PERMIT - APPLICATION AND RECORD
Owner CHARLES A1MARIL YN J PERRY ~reate Date 04/03/2007
Contractor KOCH PLUMBING
Category 411 - Residential-Water Heaters
:)Ian
Bathtub Shower Water Softner Wait. St. Shamp Sink Coffee Maker
- - - - - -
Whirlpool Floor Drain Local Waste Ice Chest FlrlWst 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 #6) - Replace gas water heater. **DEBIT ACCT**.
of Work
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1522830000
Valuation
Issued By
$600.00 Plan Approval
~
$0.00 Permit Fees
$25.00 0 Permit Voided I
Date 04/03/2007
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 wo k
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
Address 2005 DOTY ST
OSHKOSH
WI 54902 - 7040 Telephone Number ! 20-231-6661 or 235
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Perm t Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), yo r 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 read).
.
lr
03 07 09:55a
Clarence Koch
(920)
235-0282
F. 1
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
~
OfHKOfH
ON THE WATER
Plumbing Permit Application
I hereby apply for a pennit to do and install the fonowing 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 ar bound by said statutes.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection ervices, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) \vill result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
I
ou
in the Permit Fee Account S
our account
. . #: (p
Job Address $2.:5 Ao/.M::"~/J #?I. Value (Including labor and rnaterials)
t ?-. ;1./.,;",;.
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Contractor
Ie p,;?/
~Rental
600"'"
/7; ,.
. . ~,., A!,~
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Date 4- - .3'-;:;77
Own er {.'A P .? 1".; /~,<':,,""&::r
DSingle Family
DDuplex
[EjMulti-Family
OCommerc'al
Dlndustrial
Number of Fixtures:
Bathtub
Whirlpool
L3vatory
Toilet
Res. Sink
Bar Sink
Water Heater ~j
../i\pas 0 Elect 0 PwrVnl
Shower
Floor Drain
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
DrinkFln Catch Basin
Wait.St Wash Ftn
lee Chest Urinal
Exam Sink Gar Drain
Sculry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Camm. Ice Maker
Serv Sink Site Drain
lnt Grease TTap Roof Drain
Ex! Grease Trap Slandp Rec
R?,Z. Valve Eye Wash Sin
Shamp Sink \Vtr Sewer Mtrs
FlrlWst Sink Deduct Meters
Wrr Usage Mtrs
Lndry Tray
Lab Sink
Clothes Wshr
Bidet
Beer Tap
ClaSSTm Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Surgeons Sink
Brealam Sink
Dip Well
Hose Bibs
Electric Contractor
OR
DElectric Installation Ve ification form attached
(If Replacement)
Use I Nature afWark e/.~~A.C::j/i~:.
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. ~ ~~'. ,'w J'" :tr~t.,""!f" ~,:' ."
Size
Material
Type
#
Conn..Type
(/00 ~
/;)7
Sanitary Sewer
Storm Sewer
Water Service
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,r /'f /'-
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