HomeMy WebLinkAbout0126116-Plumbing (water heater)
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OSHKOSH "
ON THE WATER
Job Address 114 W 23RD AVE
CITY OF OSHKOSH
No
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner FREDERIC UCAROLANN STADLER Create Date
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 gas water heater. "DEBIT ACCT".
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1402850000
$600.00 Plan Approval
~
$0.00
$25.00 D Permit Voided I
Permit Fees
Date 08/06/2007
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
OSHKOSH
WI 54902 - 7040 Telephone Number 920-231-6661 or 235
Address 2005 DOTY ST
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.
!g 06 07 09:04a
City of 0shkoslr
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Clarence Koch
(9201 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 COnfOIIIl to the
Wisconsin State Plumbing Code, in the petforma:oce 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 permit(s) will result in fees being doubled or $100.00 pll,lS the
normal permit fee, which ever is greater.
OR
I
Job Address //4 2 S I~ ,41/,
Owner FIZe'.4 .57A/.// /:5/l'
~Single Family DDuplex DMulti-Family
Value (Including labor and materials) 000::!!!?
;: t::JC4 ;O~ ~,
Date $ -C;.,.o7
Contractor
DRental
OCommercial
DIndustrial
Number of Fixtures:
Bathtub Disposal
Whirlpool Dishwasher
Lavatory Sump Pump
Toilet Ej el:tor/Grind
Res. Sink Water Softner
Bar Sink Local Waste
Water Heater ~ Clothes Wshr
~Gas DEJectO PwrVnt Bidet
Shower Beer Tap
Floor Drain Classrm Sink
Lndry Tray SU~eQns Sink
Lab Sink BreaIcrm Sink
Plaster Sink Dip Well
Sterilizer Hose Bibs .
Misc.
Fixtures
Electric Contractor OR
DrinkFtn Catch Basin
Wail. St Wash Ftn
Ice Chest Urinal
Exam Sink Gar Drain
Scu]ry 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 Stand]) Rec
RP.Z Valve - Eye- Wash Stn.
Shamp Sink Wtr Sewer Mus
Flr/Wst Sink Deduct Meters
Wtr Usage Mus
[]Electric Installation Verification form attached
(If RJ:placement)
Use I Nature of Work
i2'6".4.4;4'c;/'k uY /17~?Yz. 1I/7~/"lGt/
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Water Service
.
\ \'f
ld-~
Storm Sewer
n./os
-
j.:.P'x' $-~-o7