HomeMy WebLinkAbout0125095-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 338 S LARK ST
Contractor KOCH PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res" Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
No
125095
Owner SHEILA M SMITH
Create Date
06/01/2007
Category 411 - Residential-Water Heaters
Plan
I
Shamp Sinkl
1-
Flr/Wst Sink,
Catch Basinl
Wash Ftn 1
1-
Urinal
1-
Standp Rec I
Ice Maker I-
I-
Gar Drain i
1-
Soda Disp 1
!-
i
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Shower Water Softner Wait. St.
Floor Drain Local Waste Ice Chest
Lndry Tray Clothes Wshr Exam Sink
Disposal Bidet Sculry Sink
Dishwasher Beer Tap Hand Sink
Sump Pump Lab Sink Plaster Sink
Classrm Sink Sterilizer Surgeons Sink
Breakrm Sink Dip Well F Prep Sink
Ejector/Grind Drink Ftn Serv Sink
SFR / Replace gas water heater. **DEBIT ACCT**.
.
Size Material Type # Conn. Type
Sanitary Sewer I
I
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I
,
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Storm Sewer i
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,
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,
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Water Service 1
i
Parcelld #
0610220000
$650.00 Plan Approval
V~;>a
$0.00 Permit Fees
$25.00 0 permi~ Voided I
Date 06/01/2007
I
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 N~mber 920-231-6661 or 235
To schedule inspections please call the Inspection Request line at 236-5128 noting the Addre~s, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain e1try), 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.
!
~n 01 07 01:21p
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Clarence Koch
(920)
23S-0JS2
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p. 1
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
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OJHKOJH
ON rH= WATER
Plumbing Permit Application
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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 perfonnance ofwmch all parties hereto agree to ~nd are bound by said statutes.
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· AppIication(s) and fee(s) can be brought to City Hall, Room 205 or mailed to InspeJtion Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
c~ normal permit fee, which ever is greater. I
OR i
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I stem and have ade unds check here
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au want this
DMulti- Family
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1
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V alu e (Including labor and materials) 65 6) ~
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DRental DCommercial
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Date 6-1-07
Job Address33 g, S LA-/ZL .s;?:
Owner .....jL;:,c-;e- 4jV/f/.:;:C:,4./
[]tSingle Family DDuplex
Contractor
Dlndustrial
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater --L-'
,(Gas 0 Elect 0 ?WrVnt
Shower
!'loor Drain
Lndry Tray
Lab Sink
P laster Sink
Sterilizer
Disposal
Dishwasher
Sump Pump
Ej ~ctorlGrind
Waler Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
1
DrinkFtn I Catch Basin
-,
Wait.SI. ! Wash Ftn
-I
Ice Chest I Urinal
Exam Sink -! Gar Drain
_,
ScuJry Sink I Soda Disp
-i
Hand Sink _I Coffee Maker
F Prep Sink I Comm. Ice Maker
-i
Serv Sink Site Drain
In! Grease Trap -, Roof Drain
Ex! Grease Trap St:mdp Rec
R.P.Z. Valve I
, Eye Wash Sin
Shamp Sink -I Wtr Sewer MlTS
FlrlWst Sink - Deduct Meters
Surgeons Sink
Breakrrn Sink
Dip Well
Hose Bibs
.
Size
Material
I
I Wtr Usage Mtrs
I
I
I
OR DElectric Installation Verification form attached
(If Replacement) !
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'-~ A 7~~~ rJI;1.:~;;;Sp~~~;:t~
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Conn. Type
,
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Type
#
6
"oct
f~
Misc.
Fixtures
Electric Contractor
Use I Nature of Work
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Sanitary Sewer
Storm Sewer
Water Service
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