HomeMy WebLinkAbout0133146-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 1965 ARLINGTON DR
Contractor KOCH PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
Owner RICHARD A WOLLANGK ETAL
No 133146
Create Date 09/26/2008
Coffee Maker _ _ _
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
-----
Deduct Meters
Wtr Usage Mtrs
Date 09/26/2008
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
I o scneaule 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.
Category 411 -Residential-Water Heaters Plan
_ Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest FIrIWst Sink
Lndry Tray Clothes Wshr Exam Sink Catch Basin
_ Disposal Bidet Sculry Sink Wash Ftn
Dishwasher Beer Tap Hand Sink Urinaf
_ 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
$65}0.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
25 08 03:43p
City of Oshlaosh
Inspection Services 1}ivision
P O Box 1130 .
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-50&4
Clarence Koch
Plumbing Permit Application
ON THE WATER
I hereby apply for a peunit to do nail install the foIlowing pltnabing oa the pren~ses hcreinaflsr desrnbed, 'ilte wozlc to coy; foam to the
• Wisconsin State Plumbing Coda m the performance of which all parties hazto agree to and arz botrmd by said statutes.
• Applications) and fee(s) can be brought to City Hall, Room 205 or mailed to Fnspection Services, PO Box 1128,
Oshkosh WI 54903-1 I28_ Commencing work without permit(s) wi7.1 result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
v u re con act r rt' i a in in the ernti - e c oun st and ave uate ands the k ere
i u want thi roc s ed throw h v ur ccouni
Job Address/~s~~ ~~~!,~''~'r.:~/<~Q,QValne (~l~amg~a>>o<•.na~ ~Jy •~ Date ~ L~ '•`~_
Owner ,~/C/~.~~L.G- C~6C~1Ai~L:~~ Contractor ~~GL~''~' f~~::t,`~.,~. .
Single Family ODuplez ^1Vlulti-Family []Rental ~Cotnmercial QIndustrial
Number of Fiitnres:
Bathtub Disposal Drurk Fm Cash Basin
Whirlpool Disfiwasha Wait St Wish Ftn
Lavatory Snrs~ Pusr~ Ice Chest Urinal
Toilet Ejector/Grind Fpm Sink Gar Drain
Rte. Sink Water Sofo+cr Seufiy Sink Soda Disp
Bar Sink ~ Local Waste Hurd Sink Cot3c Maker
Water Heater _~(___
~lGas O Eket O PwrVnt Ctot3~es wshr F Prep Sink Corson. tee Maker
Shower .Bidet
Sin Sink
Site Drain
Floor Drain Beer Tap Int Guise Trap Roof Drain
Lndry Tray Classsm Sink Fxt Grsase T
nP
Standp Rec
Lab Sink Surgeo~ss Sink R.P.Z valve Eye Wash Stn
Plaster Sink Breakrm Sink S Sink
~ .
Wtr Sewer Mtn
Stm'liza ~P ~''/~ Fhl Wst Siak Deduct Maas
Mice. Hose Bibs
Wtr Usage Mfrs
Fixturss
Electric Contractor O.R _ [Electric Installation Yerificaiion form aitacht~i
. e~1~p-aanrent)
Use /Nature of Work '=fir °~" "',;./ ""`'° ~-` ~ ~ °~'~ ='-~
~~
~
Size Matezial Type ~ Conn. Type
Sanitary Sewer •
Storm Sewer
Water Service
f920) 235-0282 p.l