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Home My WebLink About2007-Plumbing (water heater) e OSHKOSH ON THE WATER Job Address 909 S WASHBURN ST CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD No 126973 Owner STEVEN/REGINA SOBOJINSKI Category 441 - Industrial-Water Heaters Contractor KOCH PLUMBING Bathtub Shower Water Softner Wait. St. Whirlpool Floor Drain Local Waste Ice Chest Lavatory Lndry Tray Clothes Wshr Exam Sink Toilet Disposal Bidet Sculry Sink Res. Sink Dishwasher Beer Tap Hand Sink Bar Sink Sump Pump Lab Sink Plaster Sink Water Heater Classrm Sink Sterilizer Surgeons Sink Site Drain Breakrm Sink Dip Well F Prep Sink Roof Drain Ejector/Grind Drink Ftn Serv Sink Misc. Fixtures Use/Nature [COMM / Replace gas water heater. **DEBIT ACCT**. of Work i Size Material Sanitary Sewer Shamp Sink FlrlWst Sink Catch Basin Wash Ftn Urinal Standp Rec Ice Maker Gar Drain Soda Disp Create Date 09/27/2007 Plan Coffee Maker lnt Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs ----------------- ------~----------- -1 __J _ Storm Sewer Water Service Type # Conn. Type Parcelld # 1311860200 Valuation _____$650.00 Plan Approval ~___.....J.9.00 Permit Fees Issued By ~ __$25. 00 D.!'_~~~i!...Voided j Date 09/27/2007 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 penmit 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 Address 2005 DOTY ST Agent/Owner OSHKOSH Date 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, PermlfNumber; 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. ~,p 27 07 08:46a City of Oshkosh Inspection Services Division POBox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 Clarence Koch ( 920) 235-0282 p. 1 ~ OfHKOfH 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 Plun).bing Code, in the perfonnance of which all parties hereto agree to and are bound by said statutes. . Application(s) and fee(s) can be brought to City Hall, Room205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI 54903-1128. Commencing work without perrnit(s) will result in fees being doubled or S100.00 plus the normal permit fee, which ever is greater. OR lfvou are a contractorvarticivatinrz in the Permit Fee Account System and have adeauate funds. check here if yOU want this processed through your account n Job Address O;~~ lVA5'fI;8~t€N Value (Including labor and mat~als) 4c-/-I L]RentaJ c;s-~oo Date Cj-Z~~07 r?c.-a#'! ,e' / /;/~~. ~Commercial DIndustriaI Owner..s7.:~-t4~;: .S~/3/../ 1';"/5 /(0.( Contractor DSingle Family DDuplex DMulti-Family Number of Fixtures: Bathtub Disposal Whirlpool Dishwasher Lavatory Sump Pump Toitet Ejector/Grind Res. Sink Water Softner Bar Sink Local Waste Water Heater --L Clothes Wshr ~Gas 0 Elect 0 PwTVnt Bidet Shower Beer Tap Floor Drain Classnn Sink Lndry Tray Surgeons Sink Lab Sink Breakrm Sink Plaster Sink Dip Well Sterilizer Hose Bibs Misc. Futures Electric Contractor OR Drink Ftn Catch Basin Wait. $t. "----- Wash Ftn Ice Chest Urinal Exam Sink Gar Drain Sculry Sink Soda Disp Hand Sink Coffee Maker F Prep Sink Comm. Ice Maker Se:v Sink Site Drain IntGTeaseTrap Roof Drain Ext Grease Trap Standp Rec RP.Z. Valve Eye Wash Stn Shamp Sink Wtr Sewer Mtrs FlrlWst Sink Deduct Meters Wtr Usage Mtrs DElectric Installation Verification form attached (If Replacemeot) Use I Nature of Work 726',if/?/fC/t:" U//!T&'R.i //r::.:o':'A't7f5:'i-(f;'. Size Material Type # Conn. Type Sanitary Sewer Storm Sewer 1'1] \ ~~q Water Service N'1 Cj~z..3-07 ~~/05