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HomeMy WebLinkAbout0131937-Plumbing (water heater)OSHKOSH ON THE WATER Job Address 1615 ALGOMA BLVD 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 No 131937 Create Date 07/30/2008 Plan Shower Water Softner ' Wait. St. Floor Drain Local Waste Ice Chest _ Lndry Tray Clothes Wshr Exam Sink _ Disposal Bidet Sculry Sink Dishwasher Beer Tap I Hand Sink Sump Pump Lab Sink Plaster Sink 1 Classrm Sink Sterilizer Surgeons Sink _ Breakrm Sink Dip Well F Prep Sink Ejector/Grind Drink Ftn Serv Sink Shamp Sink Coffee Maker Flr/Wst Sink Int Grease Trap Catch Basin Ext Grease Trap Wash Ftn RPZ Valve Urinal Eye Wash Statn Standp Rec ---- Wtr Sewer Mtrs __ Ice Maker __ Deduct Meters Gar Drain Wtr Usage Mtrs Soda Disp Date 07/30!2008 In the performance of this work, I agree to perform all work pursuant 4o 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 Address 2005 DOTY ST CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Owner BLUE SAGE HOLDING LLC Category 411 -Residential-Water Heaters Agent/Owner OSHKOSH WI 54902 - 7040 Telephone Number 920-231-6661 or 235 i o scneauie mspectlons 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. $600.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided 1 30 08 11:15a City of Otshknsh Iuspecfioa Services Division P O Box 1130 Oshkosh, WI 54903-1130 Phoae: {920) 236-5050 Fax: (920) 236-5084 (9201 235-0282 p.l O 1H oN rt•~t: wnrR Plumbing Permi# Applica#ion I hereby apply for a permit to do and install the foIIowiag phmmbmg on the preffises heaeiuatler descnbed, the work to conform to the • Wisconsin State Plumbing Code, in the performance of which aII parties hetsty agree to and azz botmd by said statutes. ~ Application(s) and fe;e{s) can be brought to City Hall Room 205 or mailed to Inspection Services PO Box 1128 , , , Oshkosh WI 54903-I 128. Commencing work without pcrtnit(s) w~71 result m ft:es being doubled or $100.00 plus the normal permit fee, which ever is greater. OR If you are a contra ctor aarticinatin ~ in the Permit Fee Aeeovnt Svstem a>:d have adeq uate fursds check here rf you want tha pr ocessed through your account Job Address_ Ilo ~ s ~Lloc7,~1i 1,¢ -7 ~~alne ~m~~~a;ag mbm• as ~ata;a>s~ lp~~ ~' Date "7 - ~3e~ ~ o . Owner ~f1f~/a'' ~J~~ A ~?~ Contractor 1C~o :~ ~;f ~~t ~ 'F' ; • _ s . . QSingIe Family QDuplez ^1Vlnlti-Fam~y [~C Rental QCommercial ~ Dindustrial . Number of Fi~etnres: '. ~j Bathtub Disposal Drink Ftn Catch Basin Whir}pool Deshwasha Wait St Wash Fm Lavatory Sump Pump ~ 7cs Chest ~~ Toilet EjeetodGrmd F~tnSiak Gar Drain Rrs. Sink Water Sofa~er Scuhy Sink Soda ~P Bar Sink 'Local Waste ~ I•laad Sink I Co$n Maker Water Heater t Gas l]'•ket O 1'wrVnt Clothes Wshr FYrep Sialc ComarL lee Makes _ Bidet Sm Sink ~ Site Drain Floor Drain Bea Zap Ini Grace Trap Roof Drain Ladry Tray Ctassm Sulk Est Grease Trip Sta:rdp Rec Lab Sink Surgeoru Sank RP2 Valve I Eye wash stn P Breakrm Sink Shame Sink ' Wtr Sewer Mtrs faster Smk Dip Welt Fhfglsi Siak Deduct Mcops Sten'tiur ', dose Bros Misc. ~ Wtr Lkage Mtrs Fixtta~s ~' Electric Contractor ! OR .[]Electric Installation Verification form attached (Lf Replaae'meat) . Use !Nature of 1Vork ~~//Ei'~'G'z~ (,~/~ ~r ~:~:~' ~~f •~"~ r~ ..~.~' Siu Material ~ I Type ~ Cones. Type Sanitary Sewer Storm Sewer I I Water Service Clarence Koch ~.~~ ~ ., 7, 3 ©- ~ i