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Home My WebLink About0127923-Plumbing (water heater) e OSHKOSH ON THE WATER Job Address 3925 SHARRATT DR CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner DONALD V/LOLA C CONNORS Contractor KOCH PLUMBING Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures UselNature of Work Valuation Issued By Category 411-.:: Re~identiaJ.::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 EjectorlGrind Drink Ftn Serv Sink Soda Disp ~FR I REPLACE GAS WATER HEATER **debt acct I l No 127923 Create Date 11/26/2007 Plan Coftee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs --..----- -.------------------.------------.-----1 Address 2005 DOTY ST ..... - Agent/Owner OSHKOSH ___ _ Ii'JI 5<4~02 - 7040 . Telephone Number Parcelld # 1528920000 Date 11/26/2007 Size Material Type # Conn. Type 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 Sanitary Sewer Storm Sewer Water Service $600.00 ~- --~---~.Q() $25.00 OJ:>~~I1l~'{o_~~dj Date 920-231-6661 or 235 _.u _ 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. l Plan Approval Permit Fees ~v 21 07 04,03p ::: Clarence Koch .~ OJHKOJH ON THE WATER 235~02a2 p.l City ofOsb.k:osh Inspection Services Division POBox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920)236-5084 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 perfonnance 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 permit(s) win result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR If yOU are a contractor oarticivatinf! in the Permit Fee Account System and have adeQuate funds. check here if yOU want this processed throufth your account lJ?f Job Address..sqZS- S'/l4R/2Aff ;(Ie. Value (lncludinglaborandmaterials) 600 ~ /<,pc# ;4~ ~ DRental Date II-ZI-07 Owner ,(JON c:l' ~/V/v~;.e.S DDuplex Contractor ~Single Family DMulti-Family DCommercial Dlndustrial Number of Fixtures: Bathtub Whirlpool Lavatory Toitet Res_ Sink Bar Sink Water Heater I f(Gas 0 Elect 0 PwrVnt Shower Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Disposal Dishwasber Sump Pump Ejector/Grind Water SoftrJer Local Waste Clothes Wshr Bidet Beer Tap Classnn Sink Surgeons Sink Breaknn Sink Dip Well Hose Bibs Drink Ftn Wait.St. Ice Chest Exam Sink Sculry Sink Hand Sink F Prep Sink Serv Sink Int Grease Trap Ext Grease Trap RP,Z. Valve Shamp Sink FlrlWst Sink Catcb. Basin Wasb Fm Urinal Gar Drain Soda Disp Coffee Maker Comm. Ice Maker Site Drain Roof Drain Standp Ree Eye Wash Sm Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Electric Contractor OR DElectric Installation Verification form attached (If Replacement) /~ -'" A.o-r~o';::.;"'-'-"."., /' I / .. '-.....'1 ;J."<" ..... .'.. ~. no f ,~, "t:. _~r/? N ; 'z.;;:: ./:/,. Use I Nature of Work l?5;d,c,?'C /,"",," Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service ulos