HomeMy WebLinkAbout0128008-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 1535 CANDLELIGHT CT
CITY OF OSHKOSH
No 128008
PLUMBING PERMIT - APPLICATION AND RECORD
Owner EDWARD/MARGARET POTEMPA
Create Date 12/03/2007
Contractor KOCH PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
Category "!1:1-=- Re~~nti~~YJaterJ:i~~~~___________~ Plan
Shower Water Softner Wait. St. Shamp Sink Coffee Maker
Floor Drain Local Waste Ice Chest FlrlWst Sink Int Grease Trap
Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Disposal Bidet Sculry Sink Wash Ftn RPZ Valve
Dishwasher Beer Tap Hand Sink Urinal Eye Wash Statn
Sump Pump Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters
Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Ejector/Grind Drink Ftn Serv Sink Soda Disp
jF;R / Replace gas water heater.
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"DEBIT ACCT",
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1320516500
$400.00 Plan Approval
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$~.OO Permit Fees __ $25.00 D Permit Voide~J
Date 12/03/2007
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 ~?0_:?~1-6E561_ 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.
Iv 30 07 05:14p
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 THE WATER
Plumbing Permit Application
1 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 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 pemrit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
Ifvou are a contractor particiTJatinz in the Permit Fee Account Svstem and have adeauate funds. check here
ifvou want this r;rocessed throuf[h vour account IX!
Job Address /s-j,s (!ANA(~ll171.- C:r.-Value (Including labor and materials) 4at? JZ:f: Datell-30 -C) 7
. .
Owner €IJ ;:J~;.:::"WI~A. Contractor /:'Oc/.( /:{z:t"
~Single Family DDuplex DMulti-Family DRental DCommercial Dlndustrial
Number of Fixtures:
Bathtub Disposal
Whirlpool Dishwasher
Lavatory Sump Pump
Toilet Ejector/Grind
Res. Sink Water Sofiner
Bar Sink Local Waste
Water Heater ---L Clothes Wshr
KGas 0 Elect 0 PwrVnt Bidet
Shower Beer Tap
Floor Drain Classrm Sink
Lndry Trny Surgeons Sink
Lab Sink Brealam Sink
Plaster Sink Dip Well
Sterilizer Hose Bibs
Misc.
Fixtures
Electric Contractor OR
Drink Ftn Catch Basin
Wait. St-
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
F Prep Sink
Serv Sink
Int Grease Trap
Ext Grease Trap
R.PZ. Valve
Shamp Sink
FlrlWst Sink
Wash FlIt
Urinal
Gar Drain
Soda Disp
Coffee Maker
Comm. lee Maker
Site Drain
Roof Drain
Standp Rec
Eye Wash Stn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
. OElectric Installation VerificatioD form attached
(If Replacement)
Use I Nature of Work
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Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
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