HomeMy WebLinkAbout0131366-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 1405 BUCHANAN AVE
CITY OF OSHKOSH No 131366
PLUMBING PERMIT -APPLICATION AND RECORD
Owner DANIEL B SCOTT LIFE ESTATE Create Date 07/08/2008
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 411 -Residential-Water Heaters Plan
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest FIrIVllst Sink
Lndry Tray Clothes Wshr Exam Sink Catch Basin
_ Disposal Bidet Sculry Sink Wash Ftn
Dishwasher Beer Tap I Hand Sink Urinal
_ Sump Pump Lab Sink' Plaster Sink __ Standp Rec _
1 Classrm Sink Sterilizer ~', Surgeons Sink Ice Maker
Breakrm Sink Dip Well ' F Prep Sink Gar Drain
_ Ejector/Grind Drink Ftn~ Serv Sink Soda Disp
Date 07/08/2008
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 920-231-6661 or 235
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 pertormed within two business days from the time the project is ready.
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
$600.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
1 08 08 02:08p Clarence Koch
City ofOshknsh
Inspection Services ITivision .
P O Box 1130 ',
Oshkosh, WI 54903-1130 '~
Phase: (920) ?36-5050
Fax: (920) 2305084 ',
(9201 235-0282 p.l
H
ON TFiE WATER
Plumbing Permi# Applica#ion
I hextby apply for a permit to do and install the following pltanbing on the premises ~+~ri*+?~* described, the worst: to conform to the
Wisconsin State Pl~bing Code, im tiie perfor*~T~- of winch aII parties hat:to scree to and arz 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. Comrncncing work without permit(s) w111 result in fees being doubled or $i 00.00 plus the
normal permit fee, which ever is g~eatcr.
OR
If you c~re__a contractor DarticiDatinQ in the Perneit Fee account Svstem and have adequate funds check here
rf you want 1hisProcessed through your account ~
y
Job Address_~~'c's ~Ufl~.~I1`~;~1'4~° VaIne (tn~~~d;ag labor-~„d ~a~,;a~l G•~'";;~,~ °°-" Date ~ v° °~~
Owner ' Contractor /1OC/~ /d~,~G
~Sinele Family QDuple~ DIVlnlti-Fannly ~RentaI []Commercial Industrial
'~ ..
Number of Fixtares:
I
Bathtub Disposal
I DrirmkFen Caeh Basin
Whirlpool Dishwasher ', Wait. St. Wash Ftn
Lavatory Sump Ptr+~ ~, let Chest thins]
Toilet ~ EjtetorlGrind ', E~m Sink Gaz Drain
Rcs_ Sink Water Soft:icr ~ 5eahy Sink Sada
Herr Sink Local Warm Hand Sink Coffin Maker
Water Heats
O Elect O PwrVnt Clothes Wshr F'RP Sink Conan. ke Maker
Bidet
Scrv Sink
Site Drain
Shower
Bee Tap
Int Grrase Ttap
ltoaf Drain
~o~ Dtam Classrm Sink
Est Gtzase Trap
Standp it_^c
Lndry Tray Sttrgeoru Sink
i RPZ Valve Eye Wash Stn
Lab Sink B~~ 5ink Sink
Wrr Sewer Mfrs
Plast~5ialc
' Dip Well FMyVst Sink Deduct Meters
Stm
lizrr Hose Bibs
Misc. Wtr Usage Mfrs
Fxzriars '
Electric Contractor O,K ^Electric Txi-stallation Verification form attachet:I
Cu liePlxanent)
Use /Nature of Work "`/GG~;"~'°~~'
~1 ,~t :r-.- ',, ~; : ° ~t - ~~ .~.
,,,;~
,
~
. ,
,,
,
Size Material Type r Conn. T e
Sanitary Sewer ' ~
Storm Sewer
~~I
Watez Service ~'