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HomeMy WebLinkAbout0127520-Plumbing (water heater) o OSHKOSH ON THE WATER Job Address 1550 GALWAY CT CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD No 127520 Contractor KOCH PLUMBING Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Owner JEFFREY A/DEBRA J TEETZEN Category 411 - Residential-Water Heaters Plan ~-----_.._-_.._-~---~-------------- Create Date 10/26/2007 Water Softner Local Waste Clothes Wshr Bidet Beer Tap Lab Sink Sterilizer DipWelJ Drink Ftn Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures UselNature SFR / Replace gas water heater. "DEBIT ACCt... of Work Valuation Issued By Wait. St. Ice Chest Exam Sink Sculry Sink Hand Sink Plaster Sink Surgeons Sink F Prep Sink Serv Sink 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 -~----'---'---'--.-l Sanitary Sewer Storm Sewer Water Service Size Material Type Conn. Type Parcelld # 1320515100 $600.00 Plan Approval ~-()~ ___ $0.00 Permit Fees # $25.00 D Permit Voided J Date 10/26/2007 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to secure any necessary approvals before starting such activity. Signature Address 2005 DOTY ST Agent/Owner OSHKOSH Date WI 54902 - 7040 Telephone Number 920-231-6661 or 235 To schedule inspections please call the Inspection Request line at 236-5128 noting the Adclress, Permit' Number, TYpe of Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. Oct 26 07 11:1Sa Clarence Koch (920) 235-0282 10.2 City of Oshkosh Inspection Services Division POBox 1130 Oshkosh, WI 54903-1130 Ph()ne: (920) 236-5050 Fax: (920) 236-5084 ~ OJHKOfH ON TH ~ WATER Plumbing Permit Application I hereby apply for a permit to do and install the following plumbing on the premises hereinafter descnoed, the work to conform to the Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes. · Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI 54903-1128. Commencing work without pennit(s) will result in fees being doubled or$l 00.00 plus the normal permit fee, which ever is greater. OR If YOU are a contractor varticioating in the Permit Fee Account System and have adequate funds. check here ifvou want this processed through your account J2g Job Address/S-SO a/l~IP"/fo/ eT Value (Including labor and materials) Owner kr-~ 7:ecTZf~./ IRfSingle Family DDuplex DMulti-Family Contractor ICOC/Y DRental 600 J~'~" r-:i8 ~ DCoinmercial Date It':?-Z? -0; DIndustrial ". J, Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater .......l-.. R:.Gas 0 Eject 0 PwrVnt ShDwer Floor Drain l.ndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Disposal Dishwasher Sump Pump Ejector/Grind Water Softner Local Wasle Clothes Wshr Bidet Beer Tap Classnn Sink Surgeons Sink Breaknn Sink Dip Well Hose Bibs DrinkFb:t Wait. St. Ice Chest Exam Sink Scull}' Sink Hand Sink F Prep Sink Serv Sink Int Grease Trap Ext Gre2se Trap R.P.Z. Valve Shamp Sink FlrlWst Sink Catx:h Basin Wash Ftn Urinal Gar Drain Soda Disp Coffee Maker Comm. Ice Maker Site Drain Roof Drain Standp ReI; Eye Wash Stn Wtr Sewer MlrS Deduct Meters Wtr Usage MlrS Electric Contractor OR , DElectric Installation Verification form attached (If Replacement) Use I Nature of Work ~// ~-'?'C./z..~ U/Jtt Ti(~/l I...I...('~~" -r ,:~-:;;""..... I , .'... ,..... ,- '-.., " f.. , Size Material Type # Conn. Type ~Q (\0 ,~ \ Sanitary Sewer Storm Sewer Water Service MX /O-z:c:; -07 11/05