HomeMy WebLinkAbout0126117-Plumbing (water heater)
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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
#
.
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dte
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