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HomeMy WebLinkAbout0126369-Plumbing (water heater) e OSHKOSH ON THE WATER Job Address 854 JACKSON ST CITY OF OSHKOSH No 126369 PLUMBING PERMIT - APPLICATION AND RECORD Owner THOMAS G PUTZER Create Date 08/21/2007 Plan Contractor KOCH PLUMBING Category i!1-=- Resi~ential-Water Heaters Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature IDUPLEX / REPLACE GAS WATER HEATER "debt acct------- --- of Work 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 Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Valuation Issued By I Size Material # Conn. Type ~ Plan Approval , ~ $0.00 Permit Fees __ $25.00 D Permit Vo~ded I Parcelld # 1006230000 Address 2005 DOTY ST Agent/Owner OSHKOSH WI 54902 - 7040 Telephone Number 920-231-6661 or 235 Type Sanitary Sewer Storm Sewer Water Service Date 08/21/2007 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 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. )Og 20 07 05:34p ~ Clarence Koch 235-'-0282 p. 1 City of Oshkosh Inspection Services Division POBox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 ~ OJHKOfH ON THE WATER Plumbing Permit Application I hereby apply for a pennit 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 If you are a contractor DarticiDatinf! in the Permit Fee Account System and have adequate funds. check here ifvou want this processed throuf!h your account 00. Owner 8.54- J/J C kSc)?;,/' 57: Value (Including laborand materials) ~ao~ ~(?C-ff P?~c;, Date !5-Z0;t) 7 Job Address Contractor DSingle Family DDuplex DMulti- Family Da'Rental DCommercial Dlndustrial ;, Number of Fixtures: Bathtub Disposal Whirlpool Dishwasher Lavatory Sump Pump T011et Ejector/Grind Res. Sink Water Softner Bar Sink Local Waste Water Heater ---L- Clothes Wshr Jl Gas 0 Elect 0 PwrVnt Bidet Shower Beer Tap Floor Drain Classrm Sink u,dry Tray Surgeons Sink Lab Sink Breakrm Sink Plaster' Sink Dip Wen S tcrili=- Hose Bibs Misc. Fixtures Electric Contractor OR Drink Fin Wait, St. Ice Chest Exam Sink Sculry Sink Hand Sink F Prep Sink Serv Sink lnt Grease Trap Ext Grease TFap RP.Z. Valve Shamp Sink Flr/Wst Sink Catch Basin Wash Ftn Urinal Gar Dtain Soda Disp Coffee Maker Comm. Ice Maker Site Drain Roof Drain . Standp Rcc Eye Wash Sin Wrr Sewer MtrS Deduct Meters Wtr Usage Mtrs Use J Nature of Work 726~v.A1 C-:r:i- []Electric Installation Verification form attached (If Replacement) ~ ,,_ _____ / I3 ,A';;r'j.,.-;;- ~ /(''/,( /i/" 4/..-~:~:t4 ....... ~.~ ~t:r..'/'''''''(;- .. "../T. r;",;c.. Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service .1"'"': .,~... ...:} ...., -s- !-1Ll ;,;"'Z ~. 2"':;' - (;.....; /' ::U/OS