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HomeMy WebLinkAbout0126251-Plumbing (water heater-Apt 3) CITY OF OSHKOSH No 126251 PLUMBING PERMIT - APPLICATION AND RECORD o OSHKOSH ON THE WATER Job Address 812 MALLARD AVE Owner CHARLES A1MARIL YN J PERRY Create Date 08/14/2007 Plan 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/Grind Drink Ftn Serv Sink Soda Disp Misc. Fixtures Use/Nature MUL TI-FAMIL Y (APT #3) / REPLACE GAS WATER HEATER **debt acct of Work Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Valuation ~o Plan Approval $0.00 $25.00 0 Permit Voided I Parcelld # 1522830000 Permit Fees Issued By 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 (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. Rug 14 07 12:29p Clarence Koch (920) 235-0282 p.2 City of Oshkosh Inspection Services Division POBox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 (IJ OJHKOfH 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 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 . lfvou are a contractor varticivatinr: in the Permit Fee Account System and have adequate funds. check here i(vou want this Drocessed throUflh your account f}(3 43 Job Address zg I Z-- lI1;;tt/l,(LJ ..:5 T Owner C'A.GJ7A /~.V 5 {'?;};1::~~' DSingle Family DDuplcx Value (Including labor and materials) 6t:At:J:E.!!!.. Date & - /4 -01 Contractor DMulti-Family 1""- r- /' / ,.....' {) t/',/"'~ ~..,.(1 ~..... '''V/''~ I ,..../.:.;;~ DRental DCommercial Dlndustrial .i, Number of Fixtures: Dip Well Hose Bibs Drink Fin Wait. St. Ice Chest Exam Sink SculrySink Hand Sink F Prep Sink Serv Sink Int Grease Trap Ext Grease:: Trap R.PZ. Valve Shamp Sink FlrlWst Sink Catch Basin Wash Ftn Urinal Gar Drain Soda Disp Coffee Maker Comm. Ice Maker Site Drain Roof Drain Standp Rce Eye Wash Sm Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Uldry Tray Lab Sink Plaster Sink Sterilizer Disposal Di:;hwash~ Sump Pump Ejector/Grind Water Sl]ftner Local Waste Clothes Wshr Bidet Beer Tap Classnn Sink Surgeons Sink Breakrm Sink Bathtub Whirlpool Lavatory Toilet Res. Sink BlI!' Sink Water Heater I - - Jil! Gas 0 Elect 0 PwTVnt Shower Floor Drain Misc. Fixtures Electric Contractor OR . DElectric Installation Verification form attached (If Replacement) Use I Nature of Work .-..&;"';/.'......, .-::::' / ,.J'';:'~..,....:...' It;.. . " . r i.' .f. . . ,'(' ....., .....-p.. ...... /-;.'.;;) .'.~&',./~:.:..7.,-..:>' V /"' .:. .,<.~:.t~~ , I ".",,,,- , "" I Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service FA)( a t ,'i' 0.'''. ~ 0'" / If h.' / 11/05