HomeMy WebLinkAbout0126369-Plumbing (water heater)
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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-
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