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Home My WebLink About0124997-Plumbing (water heater) G OSHKOSH ON THE WATER Job Address 915 MALLARD AVE CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner CHARLES A1MARIL YN J PERRY Contractor KOCH PLUMBING Category 441 - Industrial-Water Heaters Bathtu b Shower Water Softner Wait. St. Shamp Sink Whirlpool Floor Drain Local Waste Ice Chest FlrlWst Sink Lavcltory 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 MULTI-FAMILY (APT #3) / REPLACE GAS WATER HEATER **dect acct of Work No 124997 Create Date OS/25/2007 Plan Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs I Size Conn. Type Material Type # Sanitary Sewer Storm Sewer Water Service Valuation $0.00 Permit Fees $25.00 0 Permit Voided I Parcelld # 1514819706 Plan Approval Issued By III 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 AgenUOwner Date OS/25/2007 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~ 24 07 ,11: 18a Clarence Koch (920) 235-0282 10.2 < City of Oshkosh Inspection Services Division POBox 1130 Oshkosh, VVI54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 ~) OJHKOJH ON THE III.-\TER Plumbing Permit Application 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, in the performance ofwmch all parties hereto agree to and are bound by said statutes.. · AppIication(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 $lQO.OO plus the normal permit fee, which ever is greater. OR J in the Permit Fee Account S Our account Job Address ~/? ItIlltL.,dri:.L} Owner &-,J4T./I/;VS a~<.:;:; DSingle Family DDuplex _...t... ~~:..3 Value (Including labor and materials) " Contractor K'',;::;c;.c-/ 600 00 DateL:'" -2~~-;;;;J"7 -J . .. I'~.e::::;;" [ZJMulti-Family [EtRen tal DCommercial Dlndustrial Number of Fixtures: Bathtuh Disposal Dishwasher Sump Pump Ejector/Grind Water Sofmer Local Waste Clothes Wshr Bidet Beer Tap Classrm Sink Surgeons Sink Breakrm Sink Dip Well Hose Bibs DrinkFtn Catch Basin Wait.St Wash Ftn Ice Chest Urinal Exam Sink Gar Drain Sculry Sink Soda Disp Hand Sink Coffee Maker F Prep Sink Comm. fee Maker Serv Sink Site Drain Int Grease Trap Roof Drain Ex! Grease Trap Standp Rec RP.Z. Valve EyeWash Sm Shamp Sink Wtr Sewer Mtrs FlrNlsl Sink Deduct Meters Wtr Usage Mtrs Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Healer --L- ~ Gas 0 Elect 0 PwrVnt Shower Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Misc, Fixtures Electric Contractor OR . DElectric Insta1Iation Verification form attached (If Replacement) Use / Nature of Work &~;..:;::;,/::~; ><::;-,x:::'-,.<<~7/~;'.~;' /::~'::':::';':'~;::"'--;:-~,"~~, Size Material Type # Conn. Type Sanitary Sewer Storm Sewer ~ : Water Service M/- s~Z4-e;;7 ~~/05