HomeMy WebLinkAbout0127573-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 2009 GROVE ST
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner CHARLES A/MARILYN J PERRY
Contractor KOCH PLUMBING
Category 411 - Residential-Water Heaters
.'---.--.--.
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest FlrlWst Sink
Lndry Tray Clothes Wshr Exam Sink Catch Basin
Disposal Bidet Sculry Sink Wash Ftn
Dishwasher Beer Tap Hand Sink Urinal
Sump Pump Lab Sink Plaster Sink Standp Rec
Classrm Sink Sterilizer Surgeons Sink Ice Maker
Breakrm Sink Dip Well F Prep Sink Gar Drain
Ejector/Grind Drink Ftn Serv Sink Soda Disp
No
127573
Create Date
10/26/2007
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature iMUTfifamlly7 Replacegas water heaierTnTaundrYroo-m-:-**DEBIT ACC.,=...------------------------------
of Work
Valuation
Issued By
Size
Material
Conn. Type
..____~6QQ.:.O"Q Plan Approval
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Parcelld #
1514819706
Permit Fees
Address 2005 DOTY ST
Agent/Owner
OSHKOSH
WI 54902 - 7040 Telephone Number 920-231-6661 or 235
Type
#
Sanitary Sewer
Storm Sewer
Water Service
Date 10/31/2007
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
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.
~:t 26 07 11:18a
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Clarence Koch
(920)
235-0282
p. 1
~
OfHKOfH
ON TH E 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 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 penlites) will result in fees being doubled or $100.00 plus the
normal permit fee, whichever is greater.
OR
I ou are a contractor artici atin in the Permit Fee Account S
ou want this rocessed throu h our account
Job Address ZOO~ C!/ZOt//;:-. S" T4 Value (Including labor and materials) ~O~-
Owner (1/1PTA//./.$ C!O(/.& Contractor ;COChJ' A:/.:f'C-
DSingle Family DDuplex ~Multi-Family I&1Rental DCommercial
Date/O-Z" -(j)
DIndustrial
Number of Fixtures:
Bathtub Disposal
Whirlpool Dishwasher
Lavatory Sump Pump
Toilet Ejector/Grind
Res. Sink Water Softner
Bar Sink Local Waste
Water Heater --L- Clothes Wshr
"'Gas 0 Elect 0 PwrVnt Bidet
Shower Beer Tap
Floor Drain Classrm Sink
Lndry Tray Surgeons Sink
Lab Sink Breakrm Sink
Plaster Sink Dip Wen
Sterilizer Hose Bibs
Misc.
Fixtures
Electric Contractor OR
DIinkFtn
Wait.St.
Ice Chest
Exam Sink
Scu]ry Sink
Hand Sink
F Prep Sink
Sent Sink
Int Gr~ Trap
Ex! GTease Trap
RP.Z. Valve
Shamp Sink
Flrrwst Sink
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Comrn. Ice Maker
Site Drain
Roof Drain
Standp Rec
Eye Wash Sin
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Use J Nature of Work
DElectric Installation Verification form attached
(If Replacement)
eC~?~d W'A7'li'/t /-I/~;4?7';;"z- --~~
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
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1t?-2~-07
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