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HomeMy WebLinkAbout0124998-Plumbing (water heater) e OSHKOSH ON THE WATER Job Address 2013 DOTY ST CITY OF OSHKOSH No 124998 PLUMBING PERMIT - APPLICATION AND RECORD Owner CALVIN M SEIBERLICH JR Create Date OS/25/2007 Plan Contractor KOCH PLUMBING Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Category 411 - Residential-Water Heaters Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs DUPLEX / REPLACE GAS WATER HEATER **debt acct Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 1400700000 Valuation IssUl~d By Shower Water Softner Wait. St. Shamp Sink Floor Drain Local Waste lee Chest FlrlWst 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 Class I'm Sink Sterilizer Surgeons Sink lee Maker Breakrm Sink Dip Well F Prep Sink Gar Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp $0.00 Permi~ Fees $25.00 0 Permit Voided I Date OS/25/2007 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 (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 c;ontinue if the inspection is not performed within two business days from the time the project is ready. r~ 24 07 11:18a Clarence Koch (920) 235-0282 p. 1 City of Oshkosh Inspection Services Divis10n 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 permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the Wisconsin State PlumbingCode, in the perfonnance ofwbich all parties hereto agree to and are bound by said starutes. · 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) vrill result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR I in the Permit Fee Account S stem and have ade uate unds check here Our account 0-1- .. ~; -' ...,- -?;J ,~~ .;.:> Job Address ,;';';";:'-~<'.? "j:J.,,-:--:/ ...:'..>:::-: Value (Including labor nnd materials) ~,:, ..."'';'' ,_"_ Owner L.?1'J>>'fP <;i::!IJc~/c.# Contractor Ie:! C?C// ns c. DSingle Family DDuplex DMulti-Family , DRental DCommercial Date S:-Z4 -0; Dlndustrial Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Disposal Dishwasher Sump Pump Ejector/Grind Water Softner Local Waste Ctothes Wshr Bidet Beer Tap Classrm Sink DrinkFtn Catch Basin Wait.St Wash Ftn lee Chest Urinal Exam Sink Gar Drain Seulry Sink Soda Disp Hand Sink Coffee Maker F Prep Sink Comm. lee Maker Serv Sink Site Drain lnt Grease Trap Roof Drain Ext Gr~ase Trap Standp Rec RP.Z. Valve Eye Wash Stn Shamp Sink Wtr Sewer Mtrs Flr/Wst Sink Deduct Meters Wtr Usage Mo-s Water Heater I )l: Gas 0 Elect 0 Pwr Vnl Shower FlOOT Drain Lndry Tray Lab Sink Surgeons Sink Brealcrm Sink Dip Well Hose Bibs Plaster Sink Sterilizer Misc. Fixtures Electric Contractor OR DElectric Installation Verification form attacbed (If Replacement) /' 7Z6~.? A-Ck" ~ /!17b? I~''f;d--:-;';'';;;=S-[ Use I Nature of Work Sanitary Sewer Size Material Type .ll rr Conn. Type Storm Sewer Water Service ~y 5'"- 24 -D7 Ulos , ...., ....' ,,~~,. :,:. i; ,