HomeMy WebLinkAbout0128145-Plumbing
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OSHKOSH
ON THE WATER
Job Address 1613 SPRUCE ST
CITY OF OSHKOSH
No
128145
PLUMBING PERMIT - APPLICATION AND RECORD
Owner MICHAELrrERESA VICTORY
Contractor KOCH PLUMBING
Category '~.!O-=--f3e~i,!er~ti?I~lnt~rj~r ~
Bathtub Shower Water Softner Wait. St.
Whirlpool Floor Drain Local Waste Ice Chest
Lavatory 1 Lndry Tray Clothes Wshr Exam Sink
-~_...
Toilet 1 Disposal Bidet Sculry Sink
Res. Sink Dishwasher B.eer Tap Hand Sink
Bar Sink Sump Pump Lab Sink Plaster Sink
Water Heater Classrm Sink Sterilizer Surgeons Sink
Site Drain Breakrm Sink Dip Well F Prep Sink
Roof Drain Ejector/Gri nd Drink Ftn Serv Sink
Misc.
Fixtures
Shamp Sink
FlrlWst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Use/Nature SFR / REMODEL 1ST FLOOR BATHROOM AND REPIPE DRAiN AND-WATER~'*debfacCt-~ ----
of Work i
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Create Date 12/12/2007
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Size
Material
._ ____n_._____..._____..___,____....____ _.J
Sanitary Sewer
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I:,
I
Storm Sewer
Water Service
Type
#
Conn. Type
Valuation $1,800.00
Issued By ~~~
Plan Approval
$O.OQ
Permit Fees
Parcelld #
1202010000
$25.00 D PermitVoided I
~__.,____ _~~__,..,__________________J
Date 12/12/2007
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
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Address 2005 DOTY ST
Agent/Owner
OSHKOSH
WI 54902 - 7040 Telephone Number 920-231-6661 or 235
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.
!,c 11 07 08:51p
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, VVI54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Clarence Koch
(920)
235-0282 p.l
~
OJHKOJH
ON THE WI'.TER
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 workwithoutpennit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
I
Job Address / G/3 S,.t?.evu=. ...57;
Owner TffCd/::: 5S/! t/;croA.~~ Contractor
I251Single Family DDuplex DMulti-Family
Number of Fixtures:
Bathtub ----1-
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Healer
o Gas 0 Elect 0 PwrVnt
-,
--'--
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Electric Contractor
Value (Including labor and materials) I 800 .~
I
KoCh! ;Oc.e- Go
DRental
DIndustrial
Date / Z -/I-G) 7
DCommercial
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
DrinkFtn Catch Basin
Wait.St. Wash Ftn
Ice Chest Urinal
Exam Sink Gar Drain
Sculry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Comm. Ice Maker
Serv Sink Site Drain
Int Grease Trap Roof Drain
E;'{t Grease Trap Sundp Rec
.. R.P.Z. Valve..'. Eye. Wash Stn...
Shamp Sink WIT Sewer Mtrs
FlrlWst Sink Deduct Meters
Wtr Usage Mtrs
Surgeons Sink
Breaknn Sink
Dip Well
Hose Bibs
OR
DElectric Installation Verification form attached
(If Replacement)
Use / Nature of Work ~,t<J~AO;: l5/P?;#~7'.::;I/S. ;2a:. ~//h- /}/2/l-//.;,/ I u.//fT~
.
Sanitary Sewer
Conn. Type
Storm Sewer
Water Service
Size
Material
Type
#
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