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HomeMy WebLinkAbout0125226-Plumbing (water heater) o 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 ~ OfHKOfH 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