HomeMy WebLinkAbout0132787-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 1510 MARICOPA DR
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Contractor KOCH PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Owner BRUCE PlNANCY ROUNDS
Category 411 -Residential-Water Heaters
_ Shower Water Softner Wait. St. Shamp Sink
_ Floor Drain Local Waste Ice Chest Flr/Wst 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
No 132787
Create Date 09/10/2008
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Valuation $700.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
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Issued By
Date 09/10/2008
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
AgenUOwner
Address 2005 DOTY ST OSHKOSH WI 54902 - 7040 Telephone Number 920-231-6661 or 235
~ o 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.
~p 10 08 10:57a
City of Oshbush
Ins~ectioa Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phoae: (920) Z3Cz-5050
Fax (920) 236-5084
Clarence Koch
[9201 235-0282 p.l
.II-K H
ON THE WATER
Plumbing Permit Application
I hereby apply for a permit to do and install the foIIowing phttabing on the premises hereinafter desrnbed, the work to conform to the
• Wisconsin State Ph>mbing Coda, m the pedotzttanee of which aII patties hereon agree to aacl ate bound. by said statutes.
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Serviccs, PO Box 1128,
Oshkosh WI 54903-I I28_ Commrncmg work without permit(s) wr71 result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greaser.
OR
If you are a contractor aarticipating in the Permit Fee Account Svstem and have adequate funds check here
if you want shis arocessed ihrouQb your account
Job Address_ ~~~~ ~~r~~~'ft!rai°~~ Valve (lncludmglaborattdtttataials) 700 - Aate -~- y'c:~5
Owner ~,JZUC1~ ~OfJ/E/~/S Contractor ~d L"/:~f ~ f"`~f~ :;:.
®Si>agle Family [~Duplez ~1Vlnlti-Famz~y []Rental ^Commercial Industrial
Nwmber of Fiitares:
Bathtub
lavatory
Toilet
Res. Sink
Bar Sirilc
water Heats ~_
Gas C Erect O PwrVnt •
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Stm'liza
Misc.
Fizturrs
Electric Contractor
Disposal Drink Ftn Caxh Basin
Duhvrishes Wait SL W~h FCC
Sump ~mP Ice Choi Chines!
EjectorlGrind F.xaxn Sisk Cra Drain
Wader Sofa~er ~,hy, Sink Soda ~~
Loeai Waste Hand Sink
Coffer Maker
Clothes Wshr FPrep Sink Corrutt. lee Makes
Bidet 5av Sink Site Drain
Bea Tap Int Cmase Trip Rcaf Dais
Ctassnri Sink ~ Grtue T
mP
Standp Rtx
Sistgwris Sink R.P2 Vahre Eye Wash Stn
Bnaivrn Sink Sharnp Sink Wtr ScwerMtrr
Dip Wdi FhfWstSiak Dedue:tMeters
Bose Bibs
Wtr Usage Mtrs
D~ Electric Installation Verification form attached
(1f Replant)
Use /Nature of Work '~~~ -l-'.~'~.~ ,~.~,~~tr ~ ~ ~ ~` ~' ~ -_ .;.~ ~ -v- .... .
T~ ,_
Size Material Type ~ Corm. Type
Sanitary Sewer
Storm Sewer
Water SeTVice