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HomeMy WebLinkAbout0122261-Plumbing (water heater) e OSHKOSH ON THE WATER Job Address 211 HIGH AVE CITY OF OSHKOSH No 122261 PLUMBING PERMIT - APPLICATION AND RECORD Owner NORMAN R BOCK Create Date 10/25/2006 Plan Contractor KOCH PLUMBING Category 441 - Industrial-Water Heaters Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Gri nd Water Softner Wait. St. Shamp Sink Local Waste Ice Chest FlrlWst Sink Clothes Wshr Exam Sink Catch Basin Bidet Sculry Sink Wash Ftn Beer Tap Hand Sink Urinal Lab Sink Plaster Sink Standp Rec Sterilizer Surgeons Sink Ice Maker Dip Well F Prep Sink Gar Drain 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 COMM-Replace gas water heater. ..DEBIT ACCT.., Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcelld # 0101410000 Valuation Issued By $900.00 Plan Approval $0.00 $25.00 D Permit Voided I Date 10/25/2006 O/YJ1.~ Permit Fees 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 Agent/Owner OSHKOSH WI 54902 - 0000 Telephone Number 920-231-6661 or 235 Address 2005 DOTY ST 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. l't .25 06 10,08a City 'Of Oshkosh Inspection Services Division POBox I 130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 Clarence Koch (920) 235-0282 p. 1 ~ OfHKOfH ON THf: WATER Plumbing Permit Application I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the Wisconsin State Plumbing 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, 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 $100.00 plus the nonnal pennit fee, which ever is greater. . OR au in the Permit Fee Account S our account 1 Job Address ZIIII/C/./ .1/1/ !J/o.R~ l5 0':/< DSingle Family DDuplex [KIMulti-Family Owner VaJue (including tabor and materials) 0/00 ~ I("OCH ~$~. OORental Date/?' -ZPJ -O~ Contractor DCommercial OIndustrial Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res, Sink Bar Sink Water HCllter ~ XGas 0 El~t 0 PwrVnt Shower Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer lndry SL:lndp Disposal Dishwasher Sump Pump Ejector/Grind Water Solmer Local Waste Clothes Wshr Bidet Beer Tap Classnn Sink Surgeons Sink Breaknn Sink Dent. Oper. Shamp Sink Dip Well Flr"lWst Sink Drink Fin Catch Basin Wait. St. Wash Fm Ice Chest Urinal Exam Sink Gar Omin '"\ SculT)' Sink S6da Disp Hand Sink Coffee Maker .F Prep Sink Ice Maker Serv Sink Site Omin Int Grease Trap Roof Drain Ext Grease Trap Standp Rec R.P.z. Valve Eye ~ash Sm Electric Contractor OR OElectric Installation Verirlcation form attached (If Replacement) Use I Nature of Work ~?/lC/i:~ ~(t. I?;';-t , "r";A. ."?'~' ..".' j.~,,',,!,/!. ., .""'..i-__. . ,,,,",, , J'C or . ",'" ~_.-: ,.e)_~. - . Size Material Type -U Jr Conn. Type 0\D \"t\ ~ '-' JJ \1l IJI' ~ to- \d- Sanitary Sewer Storm Sewer Water Service ...-- ;""';4 '( / tJ - -z... s-- t? b 7}03