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HomeMy WebLinkAbout0128008-Plumbing (water heater) I . 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. I I I "DEBIT ACCT", Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcelld # 1320516500 $400.00 Plan Approval ~AJ $~.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 1tz?4~- "'-A;~/" ....., f.' '< .,." .," l" ...~... ..... ~.L,;o. I!' ~, ;~'~if/>-;::~:;.o; ,;" ;: ;~<':'..~ ~t':;;",-;t:.~ Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service nlos