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HomeMy WebLinkAbout0126117-Plumbing (water heater) e OSHKOSH ON THE WATER Job Address 548 GROVE ST CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner LYNN C PARKER Contractor KOCH PLUMBING Category 411 - Residential-Water Heaters Bathtub Shower Water Softner Wait. St. Shamp Sink Whirlpool Floor Drain Local Waste Ice Chest FlrlWst Sink Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin Toilet Disposal Bidet Sculry Sink Wash Ftn Res. Sink Dishwasher Beer Tap Hand Sink Urinal Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain Roof Drain Ejector/Gri nd Drink Ftn Serv Sink Soda Disp Misc. Fixtures Use/Nature SFR / Replace gas water heater. "DEBIT ACCT" of Work No 126117 Create Date 08/06/2007 Plan Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Size Material Conn. Type Type # Sanitary Sewer Storm Sewer Water Service Valuation $600.00 Plan Approval ~ $0.00 $25.00 D Permit Voided I Permit Fees Issued By 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 AgenUOwner Address 2005 DOTY ST OSHKOSH WI 54902 - 7040 Telephone Number 920-231-6661 or 235 Parcel Id # 1103000000 Date 08/06/2007 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (Le. 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. !g OS 07 09:2la 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 descnbed, the work 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 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 $100.00 plus the normal permit fee, which ever is greater. OR Ifvou are a contractor lJarticipatinf! in the Permit Fee Account Svstem and have adeauate funds. check here ifvou want this Drocessed through your account I)? . JobAddress 5~g &'W.6 ,$r t, "'NIl/' ;:' AIt' /~;e IRfSingle Family DDuplex DMulti-Family Owner Number of Fixtnres: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater -, ~Gas 0 Elect 0 PwrVnt Shower Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Electric Contractor Use I Nature of Work Value (lnclUdin~1aborandmaterials) 600~ Ii OC/t' ;0 t' ;13' c;. DRental Dlndustrial Date .g -~ -0 7 Contractor DCommercial Disposal Dishwasher Sump Pufl1P Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap. Classrm Sink SUrgeons Sink Brealom Sink Dip Well Hose Bibs Drink Fin Catch Basin Wait. St. Wash Ftn Ice Chest Urinal Exam 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 .....RP.Z. Valve' Eye- Wash Sm- Shamp Sink Wrr Sewer Mtrs FlrlWst Sink Deduct Meters Wtr Usage Mtrs OR DElectric Installation VerificatioD form attached (If Replacement) . ec-~CKC/:;/ 40 (J/J-{- a/l$ W/'t-/%-:._:;.~::./:'j">'-~j:'/i2:',,~,(, Size Material Conn. Type Sanitary Sewer Storm Sewer Water Service Type # . \(\ dte \ ~J./05 ;:. ?1 X &~~ - 0'7