HomeMy WebLinkAbout0125570-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 1312 HAZEL ST
CITY OF OSHKOSH
No
125570
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner DARRELL B KROLL Create Date 06/28/2007
Category 411 - Residential-Water Heaters Plan
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest Flr/Wst 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 #
1513710000
$600.00 Plan Approval
fknuo
$0.00
$25.00 D Permit Voided I
Permit Fees
Date 06/28/2007
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 tJolder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
AgenUOwner
OSHKOSH
Address 2005 DOTY ST
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 28 07 01:20p
:-: City of Oshkosh
-:-..Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Clarence Koch
(920) 235-0282 p.l
~
OJHKOJH
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 ofwbich all parties hereto agree to and are bound 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 permit(s) win result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
1 in the Permit Fee Account S stem and have ade
i our account
Job Address 13/~ /Mu-c Dr:
Owner /J/l/J&eC ;c::eact:..
IRISingIe Family DDuplex
Value (Including labor and materials) C;; 60 ~
K CC# /?c/5C:;;
Date~-2S-07
Contractor
DMulti-Family
DRentaJ
DCommercial
DIndustriaI
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater -'-
Ji{ Gas 0 Elect 0 PwrVnt
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classnn Sink
SUrgeons Sink
Brealam Sink
Dip Well
Hose Bibs
Drink Fm Catch Basin
Wait. $t. Wash Fm
Ice Chest Urinal
Exam Sink Gar Drain
Sculry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Comm. Ice Maker
Scrv Sink Site Drain
Int Grease Trap Roof Drain
Ext Grease Trap Standp Rec
.. RP.Z. Valve .... .. ... EyeWash Sm ....
- -
Shamp Sink Wtr Sewer Mtrs
FlrlWst Sink Deduct Meters
Wtr Usage Mlrs
Electric Contractor OR []Electric Installation Verification form attached
(If Replacement)
Use / Nature of Work ?2/3"~CAa'Z-. ~??.::3/l. //tff?~c~
Size
Material
Type
#
Conn. Type
Sanitary Sewer
----
r~X
6-Z',$-b7
IJD
6t:J
ltf
Storm Sewer
Water Service
~~/05