HomeMy WebLinkAbout0122261-Plumbing (water heater)
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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-__. . ,,,,",,
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- . Size
Material
Type
-U
Jr
Conn. Type
0\D
\"t\ ~ '-' JJ \1l
IJI' ~ to-
\d-
Sanitary Sewer
Storm Sewer
Water Service
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