HomeMy WebLinkAbout0126252-Plumbing (water heater)
CITY OF OSHKOSH No 126252
PLUMBING PERMIT - APPLICATION AND RECORD
e
OSHKOSH
ON THE WATER
Job Address 407 W 14TH AVE
Owner JAMES J SCHAICK Create Date 08/14/2007
Plan
Category 411 - Residential-Water Heaters
Contractor KOCH PLUMBING
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest FlrlWst Sink
Lndry Tray Clothes Wshr Exam Sink Catch Basin
Disposal Bidet Sculry Sink Wash Ftn
Dishwasher Beer Tap Hand Sink Urinal
Sump Pump Lab Sink Plaster Sink Standp Rec
Classrm Sink Sterilizer Surgeons Sink Ice Maker
Breakrm Sink Dip Well F Prep Sink Gar Drain
Ejector/Grind Drink Ftn Serv Sink Soda Disp
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature SFR / REPLACE GAS WATER HEATER **debt acCi----------------
of Work
\_-
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Material
Type
#
Conn. Type
Size
Sanitary Sewer
Storm Sewer
Water Service
Valuation ~.oo
Issued By
.....,
Plan Approval ___~OcO_Q
Permit Fees ____~~~:.CJQ D Permit Voided i
Parcelld #
0907350000
Date 08/14/2007
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
Address 2005 DOTY ST
Agent/Owner
OSHKOSH
WI 54902 - 7040 Telephone Number 920-231-6661 or 235
Date
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.
Ig 14 07 12:29p
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. 1
(t)
OfHKOfH
ON THE WATER
Plumbing Permit Application
I hereby apply for a pennit to do and install the following plumbing on the premises hereioafter described, the work to conform to the
Wisconsin State PIU11;lbing 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 Han, 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 ot $100.00 plus the
normal permit fee, which ever is greater.
OR
lfvou are a contractor particivating in the Permit Fee Account System and have adequate funds. check here
if YOU want this processed through your account J5{l
, ~ "
Job Address -407 0' l~l.J"'4 j/
Value (Including labor and materials) 6VO 4.:;.9
Date &...;4-07
Owner ...../ A,I;1 ,~;;::.:(
[S2)Single Family
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater -L
'\i!..Gas 0 Elect 0 PwrVnt
Shower
FloO!" Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Electric Contractor
Use / Nature of Work
I ..-
t:'~, ::; c."~.(~ '
,.P:'
/"':~ /5 t& .
~~.2; t'~-/;t!. ~'~ (w.~. .~..
Contractor
DDuplex
OMulti-Family
DRental
DCoinmercial
[]Industrial
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local W35te
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Surgeons Sink
Breakrm Sink
Dip Well
Hose Bibs
Drink Ftn Catch Basin
Wait. St. Wash Ftn
Ice Chest Urinal
Exam Sink Gar-Drain
Sculry Sink Soda Disp
Hand Sink Coff= Maker
F Prep Sink Comm. Ice Maker
Serv Sink Site Drain
Int Grease Trap Roof Drain
Ext Grease Trap Standp Rec
R.P.Z. Valve Eye Wash Stn
Shamp Sink - WtJ" Sewer Mtrs
F1r/Wst Sink Deduct Meters
Wtr Usage Mtrs
OR . DElectric Installation Verification form attached
(If Replacement)
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-r7 _ - /. ,r~.,./.. ,_",,_,;:-~. U ,,- ..
rc-c~ ?~C/~: r" /c. ....c. n /?,,,,..L ;:;?:'"~-
Sanitary Sewer
Size
Material
Type
Conn. Type
Storm Sewer
Water Service
#
u/os
H/Y.
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