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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