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HomeMy WebLinkAbout0126297-Plumbing (water heater) e 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