HomeMy WebLinkAbout0124436-Plumbing
.
OSHKOSH
"
ON THE WATER
Job Address 936 W 11TH AVE
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner IRENE M HABLE
Contractor KOCH PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
Category 410 - Residential-Interior
No 124436
Create Date 04/26/2007
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
SFR / REMODEL BATHROOM AND ADD DISHWASHER ""debt acct
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1302920000
Address 2005 DOTY ST
Shower
Floor Drain
1 Lndry Tray
1 Disposal
1 Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Wait. St.
Ice Chest
Exam Sink
Shamp Sink
o FlrlWst Sink
Catch Basin
Wash Ftn
Urinal
Date 04/26/2007
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
$4,000.00 Plan Approval
$0.00 Permit Fees
$35.00 D Permit Voided I
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.
Signature Date
AgenVOwner
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, 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.
~r 26 ~7 09,412
.~ City of Oshkosh
Y "Inspection Services Division
P 0 Box 1130
O"hkosh, WI 54903-1130
Phone: (920) 236-505Q
Fax: (920) 236-5084
Clarence Koch
(920) 235-0282
10.1
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OfHKOfH
ON Ti-'E WATER
Plumbing PermitApplication
Job Address 13C, W IlztI;4,
Owner ~fI.N i#/ LSO..-v
~ingle Family DDuplex
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Surgeons Sink
Breaknn Sink
Dip Well
Hose Bips
I hereby apply for a pennit to do and install the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, inthe perfonnance ofwmch all parties hereto agree to and are bound by said statutes.
Electric Contractor
. 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 e~er is greater.
OR '
lfvou are a contractor lJartici7Jatin,? in the Permit Fee Account System and have adequate funds. check here
ifvou want this processed throuf!h your account IX]
Value (Including labor and materials) 4tJaJ ~
e a/I ' /cttS~
Date 4 -z~ -0,
, Contractor
DMulti- Family
DCommercial
Dlndustrial
DR ental
-.L
DrinkFtn
Wait.St. ~
lee ~ M A tt/5/1..
~Smk _____
Catch Basin
Wash Fin
Urinal
Gar Drain
Soda Disp
Coffee Maker
Number of Fixtures:
Bathtub -L
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
-L
-L
-L
Water Heater
o Gas J Elect 0 Pm-Vnt
Shower
Floor Drain
Lndry Tray
Lab Sink,
Plaster Sink
Sterilizer.
Misc.
Fixtures
Sculry Sink
Hand Sink
F Prep Sink
Serv Sink
lnt Grease Trap
Ext Grease Trap
R.P.Z. Valve
Shamp Sink
FlrlWst Sink
Comm. lee Maker
Site Drain
Roof Drain
Standp Rec
Eye Wash Sm
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
OR
[]Electric Installation Verification form attached
(If Replacement)
Use / Nature of Work
Sanitary Sewer
Storm Sewer
Water Service
1?~~P~nc:. gA'~~~
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Size
Material
J..<
r.
Type
Conn. Type
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