HomeMy WebLinkAbout0125226-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 1920 EVANS ST
CITY OF OSHKOSH
No
125226
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner CHARLES A1MARIL YN J PERRY Create Date 06/07/2007
Category 411 - Residential-Water Heaters Plan
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest FlrlWst Sink Int Grease Trap
Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Bidet Sculry Sink Wash Ftn RPZ Valve
Beer Tap Hand Sink Urinal Eye Wash Statn
Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Sterilizer Surgeons Sink Ice Maker Deduct Meters
Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Drink Ftn Serv Sink Soda Disp
Contractor KOCH PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature ,SFR / Replace gas water heater. ""DEBIT ACCT"".
of Work
Valuation
Issued By
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1514819706
$600.00 Plan Approval
~
$0.00 Permit Fees
$25.00 0 Permit Voided I
Date 06/07/2007
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.
~n 07 07 01:32p
~
Clarence Koch
(920) 235-0282
p. 1
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, Wl54903-l130
Phone: (920) 236-5050
Fax: (920) 236-5084
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ON n-l2 W."\T2R
Plumbing Permit Application
I hereby apply fol' a pemrit to do and install the following plumbing on the premises hereinafter described, the "l.vork to conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes.
. Application(s) and fee(s) can be brought to City Han, 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
I check here
ou want this
Job Address /9z.o WAd./.5' Sf' Value (Inc1uding labor and materials)
Owner {!ARf/t/dLS Cbt/.c Contractor k!a/I
DSingle Family DDuplex !)CMulti-Family ~Rental
Gr{)CJ ~
./'tA6
DCommercial
Date C; -7- 07
Dlndustrial
Number of Fixtures:
Beer Tap
ClasSTTn Sink
Surgeons Sink
Brea1crm Sink
Dip Well
Hose Bibs
Drink FIJ1 Catch Basin
Walt. St. Wash Fm
lee Chest Urinal
ENlm Sink Gar Drain
Sculry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Comm. lee Maker
Serv Sink Site Drain
Int Grease Trap Roof Drain
Ext Grease Trap Standp Rec
R.P .Z. Valve Eye Wash Stn
Shamp Sink Wrr Sewer Mtrs
Flr/Ws! Sink Deduct Meters
Wtr Usage MIrs
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Sofmer
Bar Sink
Water Heater (
~Gas 0 Elect 0 PwrVn~
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Local Waste
Clothes Wshr
Bidet
Fixtures
Electric Contractor
OR
DElectric Installation Verification form attached
(If Rcplliccmcnt)
Use / Nature of Work
l:?e~b/4 crt:
ft/A7~lt- #'fi.476/Z
Size
Material
Type
.a
rr
Conn. Type
?-u
?
t ~ t5
Sanitary Sewer
Storm Sewer
Water Service
n/05