HomeMy WebLinkAbout0126370-Plumbing (water heater)
e
OSHKOSH
ON THE WATER
Job Address 545 MONROE ST
CITY OF OSHKOSH No 126370
PLUMBING PERMIT - APPLICATION AND RECORD
Owner THOMAS G PUTZER Create Date 08/21/2007
Plan
Category 411 - Residential-Water Heaters
Contractor KOCH PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Shower Water Softner Wait. St.
Floor Drain Local Waste Ice Chest
Lndry Tray Clothes Wshr Exam Sink
Disposal Bidet Sculry Sink
Dishwasher Beer Tap Hand Sink
Sump Pump Lab Sink Plaster Sink
Classrm Sink Sterilizer Surgeons Sink
Breakrm Sink Dip Well F Prep Sink
Ejector/Grind Drink Ftn Serv Sink
Shamp Sink
FlrlWst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
iDUPLEK(545-A) / REPLACE GAS WATER HEATER **debt acct
L_
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
l
I
Size
Material
Sanitary Sewer
Storm Sewer
Water Service
Type
Conn. Type
$0.00 Permit Fees
Parcel Id #
0404790000
Valuation $600.00 Plan Approval
Issued By ~~
#
$25.00 D Permit Voided I
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
AgenUOwner
Address 2005 DOTY ST
OSHKOSH
WI 54902 - 7040 Telephone Number 920-231-6661 or 235
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 20 07 05:34p
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
~
OJHKOJH
ON THE W^TEll
Plumbing Permit Application
I hereby apply for a permit to do and install the fol,lowing 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. Comniencing work without pennit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
Ifvou are a contractor participatinfE in the Permit Fee Account System and have adequate funds. check here
if yOU want this processed throu'Zh your account I)(f
Job Address S4S- A- ;f/!t:YV I1v~'" V allle (Including labor and materials)
".,... /'l ..".:.',
(pv'O ~~~~..
Date '$-20-;.:;)2
Owner
DSingle Family
DDllplex
Contractor
DMulti-Family
~ental
DCommercial
Dlndustrial
Number of Fixtures:
Bathtub Disposal
Whirlpool Dishwasher
Lavatory Sump Pump
Toilet Ejector/Grind
Res. Sink Water Softner
Bar Sink Local Waste
Water Heater -L- Clothes Wshr
$(Gas 0 Elect 0 PwrVnl Bidet
Shower Beer Tap
F100r Drain Classrm Sink
Lndry Tray Surgeons Sink
Lab Sink BreakTm Sink
Plaster Sink Dip Well
S terilizcr Hose Bibs
Misc,
Fixtures
Electric Contractor OR
DrinkFtn
Wait. S.t.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
F Prep Sink
Serv Sink
Int Grease Trap
Ext Grease Trap
RP.Z. Valve
Shamp Sink
FlrlWst Sink
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Comm. Ice Maker.
Sile Drain
Roof Drain
Standp Rec
Eye Wash Stn
Wtr Sewer Mlrs
Deduct Meters
Wtr Usa&: Mtrs
DElectric Installation Verification form attached
(If Replacemenl)
Use! Nature of Work
"~;'!!'-:;"t~" .~ "td~' / .--r.;.,. ".,. ~ .....
~," ;' ._'.~'-.:!'::) ..,,;,1.,- ~ "",
,".,.,' ."'..."...-~,- '.""""',.'
.'.
./ I ..;} /,-
~.l'''' , '; ~
I I,#.~".'~
f J#. y- ;/ /......~/
t.~ I . ~'. -.-
///,/';1 /~;!:,.::..-/:::::
..
Size
Material
Type
#
Conn.. Type
Sanitary Sewer
Stonn Sewer
Water Service
M)( g-ZO-07
~~/05