HomeMy WebLinkAbout0125227-Plumbing (water heater)
e
OSHKOSH
ON THE WATER
Job Address 1207 MAGNOLIA AVE
CITY OF OSHKOSH
No
125227
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner JIM WITZKE 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
of Work
Valuation
Issued By
SFR / Replace electric water heater. EIV provided by Witzke Electric. **DEBIT ACCT"".
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1307310100
,
$200.00 Plan Approval
~
$0.00 Permit Fees
$25.00 D 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.
Jun 07 07 01:32p
Clarence Koch
(920) 235-0282
p.2
City of Osbkosh
Inspection Services Division
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 Plumbing Code, in the performance of which all parties hereto agree to and are bo.und by said statutes.
. 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 pennit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
vou want this
[
Job Address/207 41,4(;,,1/0(//1 Value (Including labor and materials)
Owner ~AIf4S ~TZ-/~
[RlSingle Family DDuplex OMulti-Family
Contractor
ZtJO ~
e'ocR r::?C/P ~
Date 6 -7-eJ7
DRental
DCommercial
DIndustrial
Number of Fixtures:
Dip Well
Hose Bibs
DrinkFtn Catch Basin
Wait. SL Wash Ftn
Ice Chest Urinal
Exam Stnk Gar Drain
Sculry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Comm. Ice Maker
Serv Sink Site Drain
Tnt Grease Trap Roof Drain
Exl Grease Tr:l.p Standp Rec
R.P.Z. Valve Eye Wash Sin
Shamp Sink Wtr Sewer Mtrs
FlrlWst Sink Deduct Meters
Wtr Usage Mtrs
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Disposal
Dishv,:asher
Sump Pump
Ejector/Grind
Water Sofmer
Bar Sink
Water Heater --'-
o Gas \)(Elect 0 PwrVnt
Shower
Floor Drain
Local Waste
Lndry Tray
Lab Sink
Plaster Sink
S teri Iizet
Misc.
Fixtures
Electric Contractor ttlI7Z/?~ 6...=;c~c OR . DElectric Installation Verification form attached
(If Replacement)
Clothes Wshr
Bidet
Beer Tap
Classnn Sink
Surgeons Sink
Breakrm Sink
Use I Nature of Work ?/~~?~ ~#76..e /71~~
Size
Material
Type
#
Conn. Type
Id'/\
101(}
\?
Sanitary Sewer
Storm Sewer
Water Service
U/05
... JUN. 5.2007 .
... ' . .
~',."
,.
. ;
2:59PM
,WITZKE ELE;CTRIC
ltr~ ~,NO.~'4
P.i
, " I I ~ (~ ,I
,
. ,
, .
"
'.(t)
aooa
Clty of OsbkoSh
Division oflllSi'ec:lion Smices
'2'5 CI'llI1'l:b Avenue
PO,9o~ mo
~l1lco,11 WI 54903-1130
Ol1i(C! 930.236-5050
Fu. !l20.23HOB4
. J
"
. ' , . . .,' I'~I
Electric Installation Verification
155 E. '"Packer Averyue..,
(Address)
(Zip Code)
The nature of the work consists of: (~heck One or Describe the Nature of Work)
Reconnection or new circuit for replacement Heating Plant and/or NC Condenser.
-t- Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection ofllie Service Entrance Cable, Meter Box, alterations to recepta.cles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will require a separate permit.
Reconnection or new circuit for the replacement of other pennanently wired
appliances I fixtures.
New circuit for the addition of Ale to an individual dwelling unit (house or the
individual systems in a duplex or condominium), including required service
electrical outlets.
Other
The ,value of this work is $ b5 00
I hereby verify this work will be performed by an employee of this company and further verify
the reconnection / installation will be done in compliance with manufacturer and Electric code
requirements.
~~~~0~
(Signature of Company Officer)
{-;, M. 0\ '\:-
(print Name of Officer)
b-S-07
(Date)
5102