HomeMy WebLinkAbout2007-Plumbing (washer pump)
e CITY OF OSHKOSH
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1361 WASHINGTON AVE
No
124086
Owner ROGER MLlNES Create Date 04/03/2007
Category 410 - Residential-Interior Plan
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest Flr/Wst Sink Int Grease Trap
Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Bidet Sculry Sink Wash Ftn RPZ Valve
Beer Tap Hand Sink Urinal Eye Wash Statn
0 Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Sterilizer Surgeons Sink Ice Maker Deduct Meters
Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Drink Ftn Serv Sink Soda Disp
Contractor KOCH PLUMBING
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature Remove clearwater sump discharge from sanitary and install pump for automatic clothes washer discharge to sanitary:--
of Work
Size
Material
Conn. Type
Type
#
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0203740000
Plan Approval
$0.00
$25.00 D Permit Voided I
Valuation $1,000.00
Issued By 55Yn w
Permit Fees
Date 04/05/2007
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. /
Address 2005 DOTY ST
Signature
Date
AgenUOwner
OSHKOSH
Telephone Number
920-231-6661 or 235
.--.---. .
WI 54902 - 7040
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.
Apr 04 07 02:27p
Clarence Koch
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920)236-5050
Fax: (920) 236-5084
(920) 235-0282
p.2
~
OfHKOJH
ON THE WATER
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter descnbed, 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 without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If yOU are a contractor varticivatinf! in the Permit Fee Account System and have adeauate funds. check here
i(vou want this processed throuzh your account ~
Job Address /36/ /P'A-S/I#~~70#' Value (lneludinglaborandmaterials) /Ot)O e~ Date 4-4-07
Owner ~03e;(~ m, l,f\e<s Contractor r\CC}"\ O\llm'o; ()j
l3:aSingle Family DDuplex DMulti-Family ORental OCommercial Dlndustrial
I
Number of Fixtures:
Bathtub
Whirlpool ,
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
o Gas 0 Elect 0 PwrVnt
Shower
Floor Drain
Disposal
Dishwasher
Sump Pump
Ej ector/Grind
Water Softner
---.L
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
-1-
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
I
Surgeons Sink
Breakrm Sink
Dip Well
Hose Bibs
Misc.
Fixtures
Drink Ftn Catch Basin
Wait. St. Wash Ftn
Ice Chest Urinal
Exam Sink G3r Drain
Sculry Sink Soda Disp
Hand Sink CalTee Maker
F Prep Sink Comm. fee 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 Sewer Mtrs
FlrlWst Sink Deduct Meters
Wt:r Usage Mtrs
Electric Contractor
OR
DElectric Installation Verification form attached
(If Reptacemen I)
,(1
Use I Nature of Work /)./5711t't. ;t.;::~':,",:"'fV'<:';-;(,r",.,.?'/"~:/~t/ .,i~'Z~~f
Size
Material
Type
Sanitary Sewer
Storm Sewer
Water Service
, A _,.~J'</A.,J.'* fi1 ","--'.',f':/"~ c,.c
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#
Conn. Type
H1~<
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