HomeMy WebLinkAbout0126297-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 417 ALGOMA BLVD
CITY OF OSHKOSH
No
126297
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner THE SALVATION ARMY Create Date 08/08/2007
Category 441 - Industrial-Water Heaters Plan
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest Flr/Wst 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 COMM /Install electric water heater for dishwasher. Electrical work by MY Electric under their permit #124093.
of Work
Valuation
Issued By
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0102070000
$290.00 Plan Approval
~
$0.00
$25.00 0 Permit Voided I
Permit Fees
Date 08/16/2007
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 01 07 11:03a
::: City of Oshkosh
Inspection Services Division
POBox 1130
Osbkosh, Wl54903-l130
Phone: (920) 236-5050
Fax: (920) 236-5084
Clarence Koch
(920) 235-0282 p.l
~
OJHKOfH
ON THE WATER
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter descnoed, 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 Ha1l, 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 plus the
normal permit fee, which ever is greater.
OR
I vou are a contractor artici arin in the Permit Fee Account S stem and have ade
ou want this rocessed throu h our account
Job Address 4/7./1L."t0/U',4 lJa/4 Value (Inctuding labor and materials) Z ~t) ~ Date a,-/O..07
Owner ~LtliI.7/t:x.,.. /:'1;Z~:JI4" Contractor l>O?/l /~:'Y~""~>:;""'l1"'~
DSingle Family DDuplex OMulti-Family DRental [ZlCommercial Dlndustrial
.,;J3/ - &66/
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater -L
o Gas)[Elect 0 PwrVnt
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
StcrilizeT
Misc.
Fixtures
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Surgeons Sink
Brealcrm Sink
Dip Well
Hose Bibs
DrinkFtn
Wait. St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
F Prep Sink
Serv Sink
Int Grease Trap
Ext Grease Trap
R.P.Z. Valve'
Shamp Sink
FlrlWst Sink
Catch Basin
Wash Fm
Urinal
Gar Drain
Soda Disp
Coffee Maker
Camm. Ice Maker
Site Drain
Roof Drain
Standp Rec
EyeWash SIn-
Wtr Sewer Mtrs
Deduct Meters
Wrr Usage Mtrs
Electric Contractor M r f 1/;;4""/2/ c,
OR
_ DElectric Installation Verification form attached
(lfReplacement) -
Use I Nature of Work 1(V.5/.4.?~ &//C7.te /C k/ /I Ft:J/l.. I:J IS" /I $/1 S~6(.
Sanitary Sewer
Storm Sewer
Size
Material
Type
#
Conn. Type
ot'\
.;)~d-
( -
Water Service
~ /-<H~ ~ ~ p~# /c9Yo93 ~1/05