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HomeMy WebLinkAbout0127573-Plumbing (water heater) e 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 ~ _to.O_O _________1~?:9_Q D__!:~r_rl1~ty~_~d~~_i 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 _.._.,...,..... -'.' I." -' // ,_. /-- /'1' .It. 1t?-2~-07 :ufos