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Home My WebLink About0131658-Plumbing (water heater)OSHKOSH ON THE WATER Job Address 4630 SHAMBEAU DR Contractor KOCH PLUMBING CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Owner PATRICK A/PAMELA J PAWLAK No 131658 Create Date 07/18/2008 Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Category 411 -Residential-Water Heaters Plan _ Shower Water Softner Walt. St. Shamp Sink _ Floor Drain Local Waste Ice Chest FIr/VUst 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 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 Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters __ __ _ Wtr Usage Mtrs Valuation $350.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided Issued By ~~~,/Q Date 07/18/2008 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. 17 08 02:51p Clarence Koch City ofOsbknsh Inspection Services Division P O Boa 1130 Oshkosh, W! 54903-1130 Phone: {920)236-5058 Fax: (920) 236-5084 p.l ~V~ ON TFrE WAR Plumbing Permit Application I hereby apply for a pcmut to do and install the foIIowing plumbing tan tha premises hereinafter desen'bed, the work to conform to the Wisconsin State Plumbing Cods, in the performance of which aIl parties hereto agree i4 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. Corumencing work without permit(s) will result in fees being doubled or $100.00 plus the normal peTrrlit fee, which ever is greater. OR • If you are a contractor aarficiaating in the Permit Fee ~Iccount Svstem and have adequate fursds check here if you want this arocessed through vour account SIC ~L~/J/ ~'~ JOb Address '~Ca.3D • ~~i'~~.'~k'.~'~J Yalue (}nduding labor arra trnteriak) ~~~ =~ ~ Date ~ ~~r' =~ Owner ~~C1 ~' /Off ~L X41( Contractor ~~JG:t'~ ~Ct/~v~~c=!`~'°~ _ [~Sinale ~'amiIy QDuplez [Multi-Family []Rectal []Commercial QXndustrial Number of ~xtnres: Bathtub Lavatory Toilet Rte. Sink Bar Sink Water Heater ~^ Gas D Elect D PwrVnt Shower Floor Drain Lndry Tray Lab Sink Plast^r Sink Stenlizcr Misc. FtSCU7CS Electric Coxitractor Size Material Type r Conn, Tyoe Salutary Sewer Storm Sewer Water Service (9201 235-0282 OR ^Electric Installation Verification form attached (if Rcptaeett~at) Use /Nature of Work ~/~'/~~,~ C"r ~.~' .~;~':~;~`.~,~,:~ ~;.~ ;.... ...~y;,.,F..:- Disposal DearkFtn Cash Basin Dishwasher Wait St. Wuh Ftn Sump Ptarta lee Chest Urinal Ejector/Grind Elam Sink Gar Drain Water Sofmcr Scuhy Sink Sow gyp Local Waste Hand Sink Coffm Maker Clothes Wshr F Prrp Sink CoerarL lee Maker Bidet Sere Sink Sim Drain Beer Tap Int Grease Ttap Roof Drain Ciassrm Sink Ezt Grose Trip Scux}p R.-e Surgeons Sink R.P2 Valve Eye Wash Stn Brealem Sink Shamp 5irilc Wtr SewaMtrs Dip Well Fh~N/st Sink Deduct Maas Hose Btbs Wv Usage Mns +;.