HomeMy WebLinkAbout0124919-Plumbing (water heater)
.
OSHKOSH
ON THE WATER
Job Address 1506 JACKSON ST
CITY OF OSHKOSH No 124919
PLUMBING PERMIT - APPLICATION AND RECORD
Owner CAROL A BUETTNER Create Date OS/22/2007
Plan
Contractor KOCH PLUMBING
Category 411 - Residential-Water Heaters
Bathtub Shower Water Softner Wait. St. Shamp Sink
Whirlpool Floor Drain Local Waste Ice Chest FlrlWst Sink
Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin
Toilet Disposal Bidet Sculry Sink Wash Ftn
Res. Sink Dishwasher Beer Tap Hand Sink Urinal
Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec
Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker
Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain
Roof Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp
Misc.
Fixtures
Use/Nature iSFR / REPLACE GAS WATER HEATER **debt acct
of Work
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Size
Conn. Type
Material
Type
#
Sanitary Sewer
Storm Sewer
Water Service
Valuation
$25.00 0 Permit Voided I
$0.00
Issued By
$600.0~ Plan Approval
SrYl
Permit Fees
Parcelld #
1501760000
Date OS/22/2007
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.
Signature
Address 2005 DOTY ST
Agent/Owner
OSHKOSH
WI 54902 - 7040 Telephone Number 920-231-6661 or 235
Date
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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.
~~ 22 07 10:09a
~
Clarence Koch
(920) 235-0282
p. 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 pencit to do and instaJI the following plumbing on the premises hereinafter described, 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 withoutpermit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
J vou are a contractor artici atin in the Permit Fee Account System
vou want this rocessed throu h vour account
Job Address IS-Or;, ~Clt5P/V5rValue (Including labor and materials) ~OO<PQ
Owner CAd PL. &.r:::SSL/37i:" Contr~ctor !:::;P.t:/../ ~/,j'~...
!XISingle Family DDuplex DMulti-Family DRentaI DCommercial
Date S'-ZI-O;
Dlndustrial
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater i
J( Gas 0 Elect 0 PwrVnt
Shower
DiS'Jlosal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
DrinkFln Catch Basin
Wait.St. Wash Fin
Ice Chest Urinal
Exam Sink Gar Drain
Sculry Sink Soda Disp
Hand Sink Coffee Maker
F Prcp Sink Comm. Ice Maker
Serv Sink Site Drain
In t Grease Trap Roof Drain
E....:t Grease Trap Standp Rec
R.P.z. Valve Eye Wash Stn
Shamp Sink Wcr Sewer Mtrs
Flrl\Vsl Sink Deduct Meters
WIr Usage Mtrs
Local Waste
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Surgeons Sink
Breakrm Sink
Dip Well
Hose Bibs
OR
DElectric Installation Verification form attached
(If Replacement)
Electric Contractor
Use / Nature of Work
--.c;;? -:' ~ '.-Y"" ~,_.
p;;.. d: r- 4:-, r <_ ~r.>"
/.. / LM -;<Y.;;;.;'<' ."
{4/"' rr t' " . 'A..
A .,~~' .' c'..... /.1 <-' " ,",
;,,~.. ;i,#9 4"-r.- ~ ...... ....~.,'~<
t .d-"" e" . ( .,.. .:_,:",.",~.
Size
Marerial
Type
#.
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
1.~/05