HomeMy WebLinkAbout0124918-Plumbing (water heater)
o CITY OF OSHKOSH No 124918
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 23 STONEY BEACH RD Owner LAWRENCE P/BRANDI J RUEDINGER Create Date OS/22/2007
Category 411 - Residential-Water Heaters
Contractor KOCH PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest Flr/Wst Sink
Lndry Tray Clothes Wshr Exam Sink Catch Basin
Disposal Bidet Sculry Sink Wash Ftn
Dishwasher Beer Tap Hand Sink Urinal
Sump Pump Lab Sink Plaster Sink Standp Rec
Classrm Sink Sterilizer Surgeons Sink Ice Maker
Breakrm Sink Dip Well F Prep Sink Gar Drain
Ejector/Grind Drink Ftn Serv Sink Soda Disp
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
SFR / REPLACE GAS WATER HEATER **debt acct
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1413340203
$0.00 Permit Fees
$25.00 0 Permit Voided I
Val uatlo R ..., $600,tf PlaR Approval
Issued By dm
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 Date
Agent/Owner
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, 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.
Ma~ 22.07 10:OSa
Clarence Koch
(S20) 235-0282
p.2
City of Oshkosh
InSpection Services Division
POBox 113 0
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
. Fax: (920) 236-5084
~
OfHKOfH
ON THe \VATER
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance ofwmch 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 perrnit(s) .vill result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
I stem and have ade uate unds check here
17 p~,
Job Address.Z 3 .s;7C;Yi/.j.~i'-- i!.Y/Wc..~'~i/ ~a~e (lncluding labor and materiaIS):;;~-#.r
Owner lAMtit' I?VI.";41,,/:/~~t:f;r Contractor C~d A:~.."IS-'/::t;''k'':$
~Single Family DDuplex DMulti-Family DRental DCommercial
Date .c""" ,f "'/~'
....J G~{ -.-p,# ~
Dlndustrial
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Disposal
Dishwasher
DrinkFtn Catch Basin
Wait. St. Wash Fro
Ice Chest Urinal
Exam Sink Gar Drain
Sculry Sink Soda Disp
Hand Sink CoITce Maker
F Prep Sink Comm. Ice Maker
Serv Sink Site Drain
Int Grease Trap Roof Dr:lin
Ext Grease Trap Standp Rec
R.P.Z. Valve Eye Wash Stn
Shamp Slnk Wb: Sewer Mtrs
FlrAVst Sink Deduct Meters
Wtr Usage Mtrs
Sump Pump
Ejector/Grind
Water Softner
Bar Sink
Water Heater --1-
\(Gas 0 Elect 0 PwrVn t
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Surgeons Sink
Breaknn Sink
Dip Well
Hose Bibs
Fixtures
Electric Contractor
OR
DElectric Installation Verification form attached
(If Replacement)
UselNature of Work
72/~/.c::4C:::6 U/d-r/3z /q/~
Si:.!:e
Material
Type
#
,Conn. Type
Sanitary Sewer
Stonn Sewer
Water Service
11/05