HomeMy WebLinkAbout0127134-Plumbing (water heater)
e
OSHKOSH
ON THE WATER
Job Address 300302 STATE ST
CITY OF OSHKOSH No
PLUMBING PERMIT - APPLICATION AND RECORD
127134
Owner KIECKHAFER REV TRUST H A/P D Create Date
10/05/2007
Category 441 - IndJ:lstrial-VYater Heaters Plan
Contractor KOCH PLUMBING
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
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature [COMll.f(#300) / Replace gas water-heater. **DEBIT ACCT**.
of Work I
I
I
1
L____
Valuation
Issued By
Shamp Sink
FlrlWst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Size
Material
i
I
I
__..__."_.______.._._______~__.......J
Sanitary Sewer
Storm Sewer
Water Service
Type
#
Conn. Type
$600.00 Plan Approval
-~
$0,00
Permit Fees
Parcelld #
0200640000
______ $25.00 D Per~~~i9~~
Date 10/05/2007
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
Agent/Owner
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.
~t 05 07 12:3Sp
::: City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920)236-5050
Fax: (920) 236-5084
Clarence Koch
(~~O) 235-0282 p.l
~
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 Plumbing Code, in the perfo~ce 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 pemrit(s) will result in fees being doubled or $100.00 plus the
normal permit fee) which ever is greater.
OR
I stem and have ade uate unds check here
Job Address3t10 5TA-Ta 5 ~I-Value (lncludinglaborandmaterials)
A ,<,-::= ,'..J -.... ,., C l/hC /./
. Owner Yl/r//tA I! 1/z;CI<n'A,....C:J: ontractor f(.. '- {.,
DSingle Family DDuplex DMulti-Family []Rental
~oo~..
. A..-,,-s~
Date IO-S--r:77
[]]Commercial
Dlndustrial
Number of Fixtures:
Bathtub Disposal
Whirlpool Dishwasher
Lavatory Sump Pump
Toilet Ejector/Grind
Res. Sink Water Sortner
Bar Sink Local Waste
WatI:r: Heater --L- Clothes iN shr
\(Gas 0 Elect 0 PwrVnt Bidet
Shower Beer Tap
Floor Drain Classnn Sink
lndry Tr.ty Surgeons Sink
Lab Sink Breakrm Sink
Plaster Sink Dip Well
Sterilizer Hose Bibs
Misc.
Fixtures
Electric Contractor OR
Drink Fin Catch Basin
Wait. St. Wash Ftn
Ice Chest Urinal
Exam Sink Gar Drnin
Sculry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Comm. Ice Maker
Serv Sink Site Drain
Int Grease Trap Roof Drain
Ext Grease Trap Standp Rec
RP.Z. Valve Eye Wash Sin
Shamp Sink - Wtr Sewer Mtrs
FJrlWst Sink Deduct Meters
Wtr Usage Mtrs
. DElectric Installation Verification form attached
(If Replacement)
Use I Nature of Work
E~~/4c:;r? ~7/:-5z. ///}'/::/;0:;;r7
Size
Material
Type
#
Conn. Type
0~
\
~/\
Sanitary Sewer
Storm Sewer
Water Service
ulOS