HomeMy WebLinkAbout0124998-Plumbing (water heater)
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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-
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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
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